Open Access Open Badges Research article

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

Munier Hossain1*, Daniel J Parfitt1, David J Beard2, Clare Darrah3, John Nolan3, David W Murray2 and Glynne Andrew1

Author affiliations

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

For all author emails, please log on.

Citation and License

BMC Musculoskeletal Disorders 2011, 12:122  doi:10.1186/1471-2474-12-122

Published: 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.