Moverman MA, Puzzitiello RN, Pagani NR, et al. - In this study, the prevalence of functional somatic syndromes among shoulder arthroplasty patients, and their association with postoperative outcomes and costs was explored. Between 2015-2018, researchers distinguished 480 patients undergoing elective total shoulder arthroplasty (anatomic or reverse) in the institutional registry with minimum 2-year follow-up. They used multivariable linear regression modeling to ascertain the independent relationship of these diagnoses with hospitalization time-driven activity-based costs and 2-year postoperative American Shoulder and Elbow Surgeons, Single Assessment Numeric Evaluation, and pain scores. The results indicate that the functional somatic syndromes are common in patients undergoing shoulder arthroplasty, and associate with suboptimal outcomes and greater resource utilization. It has been considered that efforts to address the biopsychosocial determinants of health that affect the value proposition of shoulder arthroplasty should be prioritized in the redesign of care pathways and bundling initiatives.