Does pre-operative psychological distress affect patient satisfaction after primary total hip arthroplasty?
2011

Impact of Pre-operative Psychological Distress on Patient Satisfaction After Hip Surgery

Sample size: 448 publication 10 minutes Evidence: moderate

Author Information

Author(s): Hossain Munier, Parfitt Daniel J, Beard David J, Darrah Clare, Nolan John, Murray David W, Andrew Glynne

Hypothesis

There is no difference in patient satisfaction after THR between patients who reported mental distress before surgery and those who did not.

Conclusion

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

Supporting Evidence

  • 96.66% of patients reported satisfaction five years after surgery.
  • Patients with pre-operative mental distress reported lower pain relief but similar overall satisfaction.
  • Gender differences were noted, with men being less satisfied if they reported pre-operative distress.

Takeaway

This study found that even if patients feel anxious or stressed before hip surgery, they can still be very happy with the results afterward.

Methodology

A multi-centre prospective cohort study was conducted with patients undergoing primary total hip replacement, assessing their mental health and satisfaction five years post-surgery.

Potential Biases

Potential selection or referral bias may have affected the study population.

Limitations

The study may not be representative of the general population undergoing THR due to selection bias from self-selected centres.

Participant Demographics

The study included 448 patients, with a higher proportion of females in the psychologically distressed group.

Statistical Information

P-Value

0.026

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2474-12-122

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