Does pre-operative psychological distress affect patient satisfaction after primary total hip arthroplasty?
- Equal contributors
1 Department of Trauma and Orthopaedics, Ysbyty Gwynedd, Bangor LL57 2PW, UK
2 Nuffield Department of Orthopaedic Surgery, Nuffield Orthopaedic Centre NHS Trust Headington, Oxford OX3 7LD, UK
3 Norfolk and Norwich University Hospital Norwich, NR4 7UY, UK
BMC Musculoskeletal Disorders 2011, 12:122 doi:10.1186/1471-2474-12-122Published: 1 June 2011
There are concerns that pre-operative psychological distress might be associated with reduced patient satisfaction after total hip replacement (THR).
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.
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.
Patient satisfaction after surgery may not be adversely affected by pre-operative psychological distress.