Does pre-operative psychological distress affect patient satisfaction after primary total hip arthroplasty?

Journal article

Background: There are concerns that pre-operative psychological distress might be associated with reduced patient satisfaction after total hip replacement (THR).

Methods: We investigated this in a multi-centre prospective study between January 1999 and January 2002. We dichotomised the patients into the mentally distressed (MHS ≤ 56) and the not mentally distressed (MHS > 56) groups based on their pre-operative Mental Health Score (MHS) of SF36.

Results: 448 patients (340 not distressed and 108 distressed) completed the patient satisfaction survey. Patient satisfaction rate at five year was 96.66% (415/448). There was no difference in patient satisfaction or willingness to have the surgery between the two groups. None of pre-operative variables predicted five year patient satisfaction in logistic regression.

Conclusions: Patient satisfaction after surgery may not be adversely affected by pre-operative psychological distress.

Authors: Hossain, M; Parfitt, D; Beard, D; Darrah, C; Nolan, J

• Publication status: Published
• Peer review status: Peer reviewed
• Publisher: BioMed Central
• Journal: BMC Musculoskeletal Disorders
• Volume: 12
• Issue: 1
• Article number: 122
• Publication date: 2011-01-01
• DOI: 10.1186/1471-2474-12-122
• EISSN: 1471-2474
• ISSN: 1471-2474
• Language: English
• Keywords: Aged; Chi-Square Distribution; Adult; Odds Ratio; Middle Aged; Treatment Outcome; Questionnaires; Arthroplasty, Replacement, Hip; Preoperative Period; Time Factors; Stress, Psychological; Young Adult; Male; Great Britain; Risk Assessment; Risk Factors; Aged, 80 and over; Patient Satisfaction; Humans; Logistic Models; Female; Prospective Studies
• Subjects: Orthopaedics; Psychological medicine; Psychiatry; Surgery