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Published in: BMC Musculoskeletal Disorders 1/2011

Open Access 01-12-2011 | Research article

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

Authors: Munier Hossain, Daniel J Parfitt, David J Beard, Clare Darrah, John Nolan, David W Murray, Glynne Andrew

Published in: BMC Musculoskeletal Disorders | Issue 1/2011

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Abstract

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.
Literature
1.
go back to reference Jones CA, Voaklander DC, Johnston DW, suarez-Almazor ME: Health related quality of life outcomes after total hip and knee arthroplasties in a community based population. J Rheumatol. 2000, 27 (7): 1745-1752.PubMed Jones CA, Voaklander DC, Johnston DW, suarez-Almazor ME: Health related quality of life outcomes after total hip and knee arthroplasties in a community based population. J Rheumatol. 2000, 27 (7): 1745-1752.PubMed
2.
go back to reference Gandhi R, Davey JR, Mahomed NN: Predicting patient dissatisfaction following joint replacement surg. J Rheumatol. 2008, 35 (12): 2415-8. 10.3899/jrheum.080295.CrossRefPubMed Gandhi R, Davey JR, Mahomed NN: Predicting patient dissatisfaction following joint replacement surg. J Rheumatol. 2008, 35 (12): 2415-8. 10.3899/jrheum.080295.CrossRefPubMed
3.
go back to reference Andrew JG, Palan J, Kurup HV, Gibson P, Murray D, Beard DJ: Obesity in total hip replacement. J Bone Joint Surg [Br]. 2008, 90-B: 424-429.CrossRef Andrew JG, Palan J, Kurup HV, Gibson P, Murray D, Beard DJ: Obesity in total hip replacement. J Bone Joint Surg [Br]. 2008, 90-B: 424-429.CrossRef
4.
go back to reference Jones CA, Voaklander DC, Johnston DW, Suarez-Almazor ME: The effect of age on pain, function, and quality of life after total hip and knee arthroplasty. Arch Intern Med. 2001, 161 (3): 454-460. 10.1001/archinte.161.3.454.CrossRefPubMed Jones CA, Voaklander DC, Johnston DW, Suarez-Almazor ME: The effect of age on pain, function, and quality of life after total hip and knee arthroplasty. Arch Intern Med. 2001, 161 (3): 454-460. 10.1001/archinte.161.3.454.CrossRefPubMed
5.
go back to reference March LM, Cross MJ, Lapsley H, Brnabic AJ, Tribe KL, Bachmeier CJ, Courtenay BG, Brooks PM: Outcomes after hip or knee replacement surgery for osteoarthritis. A prospective cohort study comparing patients' quality of life before and after surgery with age-related population norms. Med J Aust. 1999, 171 (5): 235-238.PubMed March LM, Cross MJ, Lapsley H, Brnabic AJ, Tribe KL, Bachmeier CJ, Courtenay BG, Brooks PM: Outcomes after hip or knee replacement surgery for osteoarthritis. A prospective cohort study comparing patients' quality of life before and after surgery with age-related population norms. Med J Aust. 1999, 171 (5): 235-238.PubMed
6.
go back to reference Weng HH, Fitzgerald J: Current issues in joint replacement surgery. Curr Opin Rheumatol. 2006, 18 (2): 163-169. 10.1097/01.bor.0000209428.69528.96.CrossRefPubMed Weng HH, Fitzgerald J: Current issues in joint replacement surgery. Curr Opin Rheumatol. 2006, 18 (2): 163-169. 10.1097/01.bor.0000209428.69528.96.CrossRefPubMed
7.
go back to reference Santaguida PL, Hawker GA, Hudak PL, Glazier R, Mahomed NN, Kreder HJ, Coyte PC, Wright JG: Patient characteristics affecting the prognosis of total hip and knee joint arthroplasty: a systematic review. Can J Surg. 2008, 51 (6): 428-436.PubMedPubMedCentral Santaguida PL, Hawker GA, Hudak PL, Glazier R, Mahomed NN, Kreder HJ, Coyte PC, Wright JG: Patient characteristics affecting the prognosis of total hip and knee joint arthroplasty: a systematic review. Can J Surg. 2008, 51 (6): 428-436.PubMedPubMedCentral
8.
go back to reference Lingard EA, Riddle D: Impact of Psychological Distress on Pain and Function Following Knee Arthroplasty. J Bone Joint Surg Am. 2007, 89: 1161-1169. 10.2106/JBJS.F.00914.CrossRefPubMed Lingard EA, Riddle D: Impact of Psychological Distress on Pain and Function Following Knee Arthroplasty. J Bone Joint Surg Am. 2007, 89: 1161-1169. 10.2106/JBJS.F.00914.CrossRefPubMed
9.
go back to reference Rolfson O, Dahlbarg LE, Nilsson JA, Malchau H, Garelick G: Variables determining outcome in total hip replacement surgery. Journal Bone Joint Surg. 2009, 91-B: 157-161. 10.1302/0301-620X.91B2.20765.CrossRef Rolfson O, Dahlbarg LE, Nilsson JA, Malchau H, Garelick G: Variables determining outcome in total hip replacement surgery. Journal Bone Joint Surg. 2009, 91-B: 157-161. 10.1302/0301-620X.91B2.20765.CrossRef
10.
go back to reference Riediger W, Doering S, Krismer M: Depression and somatisation influence the outcome of total hip replacement. Int Orthop. 2010, 34: 13-18. 10.1007/s00264-008-0688-7.CrossRefPubMed Riediger W, Doering S, Krismer M: Depression and somatisation influence the outcome of total hip replacement. Int Orthop. 2010, 34: 13-18. 10.1007/s00264-008-0688-7.CrossRefPubMed
12.
go back to reference Mancuso CA, Salvati EA, Johanson NA, Peterson ME, Charlson ME: Patients' expectations and satisfaction with total hip arthroplasty. J Arhtroplasty. 1997, 12: 387-396.CrossRef Mancuso CA, Salvati EA, Johanson NA, Peterson ME, Charlson ME: Patients' expectations and satisfaction with total hip arthroplasty. J Arhtroplasty. 1997, 12: 387-396.CrossRef
13.
go back to reference Anawake RE, Jenkins PJ, moran M: Predicting dissatisfaction after total hip arthroplasty: a study of 850 patients. J Arthroplasty. 2011, 26: 209-213. 10.1016/j.arth.2010.03.013.CrossRef Anawake RE, Jenkins PJ, moran M: Predicting dissatisfaction after total hip arthroplasty: a study of 850 patients. J Arthroplasty. 2011, 26: 209-213. 10.1016/j.arth.2010.03.013.CrossRef
14.
go back to reference Robertson O, dunbar MJ: Patient satisfaction compared with general health and disease-specific questionnaires in knee arthroplasty patients. J Arthroplasty. 2001, 16: 476-482. 10.1054/arth.2001.22395a.CrossRef Robertson O, dunbar MJ: Patient satisfaction compared with general health and disease-specific questionnaires in knee arthroplasty patients. J Arthroplasty. 2001, 16: 476-482. 10.1054/arth.2001.22395a.CrossRef
15.
go back to reference Chesworth BM, Mahomed NN, Bourned RB: Willingness to go through surgery again validated the WOMAC clinically important difference from THR/TKR surgery. J Clin Epidemiol. 2008, 61: 907-918. 10.1016/j.jclinepi.2007.10.014.CrossRefPubMed Chesworth BM, Mahomed NN, Bourned RB: Willingness to go through surgery again validated the WOMAC clinically important difference from THR/TKR surgery. J Clin Epidemiol. 2008, 61: 907-918. 10.1016/j.jclinepi.2007.10.014.CrossRefPubMed
16.
go back to reference Vissers MM, de Groot IB, Reijman M, Bussman JB, Stam HJ, Verhaar JAN: Functional capacity and actual daily activity do not contribute to patient satisfaction after total knee arthroplasty. BMC Musculoskeletal Disorders. 2010, 11: 121-10.1186/1471-2474-11-121.CrossRefPubMedPubMedCentral Vissers MM, de Groot IB, Reijman M, Bussman JB, Stam HJ, Verhaar JAN: Functional capacity and actual daily activity do not contribute to patient satisfaction after total knee arthroplasty. BMC Musculoskeletal Disorders. 2010, 11: 121-10.1186/1471-2474-11-121.CrossRefPubMedPubMedCentral
18.
go back to reference Nilsdotter AK, Petersson IF, Roos EM, Lohmander LS: Predictors of patient relevant outcome after total hip replacement for osteoarthritis: a prospective study. Ann Rheum Dis. 2003, 62 (10): 923-930. 10.1136/ard.62.10.923.CrossRefPubMedPubMedCentral Nilsdotter AK, Petersson IF, Roos EM, Lohmander LS: Predictors of patient relevant outcome after total hip replacement for osteoarthritis: a prospective study. Ann Rheum Dis. 2003, 62 (10): 923-930. 10.1136/ard.62.10.923.CrossRefPubMedPubMedCentral
19.
go back to reference Beesdo K, Jacobi F, Hoyer J, Low NC, Höfler M, Wittchen HU: Pain associated with specific anxiety and depressive disorders in a nationally representative population sample. Soc Psychiatry Psychiatr Epidemiol. 2010, 45: 89-104. 10.1007/s00127-009-0045-1.CrossRefPubMed Beesdo K, Jacobi F, Hoyer J, Low NC, Höfler M, Wittchen HU: Pain associated with specific anxiety and depressive disorders in a nationally representative population sample. Soc Psychiatry Psychiatr Epidemiol. 2010, 45: 89-104. 10.1007/s00127-009-0045-1.CrossRefPubMed
20.
go back to reference Beesdo K, Hoyer J, Jacobi F, Low NC, Höfler M, Wittchen HU: Association between generalized anxiety levels and pain in a community sample: Evidence for diagnostic specificity. J Anxiety Disord. 2009, 23: 684-693. 10.1016/j.janxdis.2009.02.007.CrossRefPubMed Beesdo K, Hoyer J, Jacobi F, Low NC, Höfler M, Wittchen HU: Association between generalized anxiety levels and pain in a community sample: Evidence for diagnostic specificity. J Anxiety Disord. 2009, 23: 684-693. 10.1016/j.janxdis.2009.02.007.CrossRefPubMed
21.
go back to reference Sareen J, Cox BJ, Clara I, Asmundson GJ: The relationship between anxiety disorders and physical disorders in the U.S. National Comorbidity Survey. Depress Anxiety. 2005, 21 (4): 193-202. 10.1002/da.20072.CrossRefPubMed Sareen J, Cox BJ, Clara I, Asmundson GJ: The relationship between anxiety disorders and physical disorders in the U.S. National Comorbidity Survey. Depress Anxiety. 2005, 21 (4): 193-202. 10.1002/da.20072.CrossRefPubMed
22.
go back to reference Ayers DC, Frankiln PD, Trief PM, Ploutz-Snyder R, Freund D: Psychological attributes of preoperative total joint replacement patients: implications for optimal physical outcome. J Arthroplasty. 2004, 19: 125-130. 10.1016/j.arth.2004.06.019.CrossRefPubMed Ayers DC, Frankiln PD, Trief PM, Ploutz-Snyder R, Freund D: Psychological attributes of preoperative total joint replacement patients: implications for optimal physical outcome. J Arthroplasty. 2004, 19: 125-130. 10.1016/j.arth.2004.06.019.CrossRefPubMed
23.
go back to reference Ayers DC, Franklin PD, Ploutz-Snyder R, Boisvert CB: Total knee arthroplasty outcome and coexisting physical and emotional illness. Clin Orthop Relat Res. 2005, 440: 157-161. 10.1097/01.blo.0000185447.43622.93.CrossRefPubMed Ayers DC, Franklin PD, Ploutz-Snyder R, Boisvert CB: Total knee arthroplasty outcome and coexisting physical and emotional illness. Clin Orthop Relat Res. 2005, 440: 157-161. 10.1097/01.blo.0000185447.43622.93.CrossRefPubMed
24.
go back to reference Lingard EA, Katz JN, Wright EA, Sledge CBJ: Predicting the outcome of total knee arthroplasty. Bone Joint Surg Am. 2004, 86-A (10): 2179-86. Lingard EA, Katz JN, Wright EA, Sledge CBJ: Predicting the outcome of total knee arthroplasty. Bone Joint Surg Am. 2004, 86-A (10): 2179-86.
25.
go back to reference Faller H, Kirschner S, König A: Psychological distress predicts functional recovery at three and twleve months after total knee arthroplasty. Gen Hosp Psychiatry. 2003, 25 (5): 372-373. 10.1016/S0163-8343(03)00062-8.CrossRefPubMed Faller H, Kirschner S, König A: Psychological distress predicts functional recovery at three and twleve months after total knee arthroplasty. Gen Hosp Psychiatry. 2003, 25 (5): 372-373. 10.1016/S0163-8343(03)00062-8.CrossRefPubMed
Metadata
Title
Does pre-operative psychological distress affect patient satisfaction after primary total hip arthroplasty?
Authors
Munier Hossain
Daniel J Parfitt
David J Beard
Clare Darrah
John Nolan
David W Murray
Glynne Andrew
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2011
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-12-122

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