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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.

Original publication




Journal article


BMC musculoskeletal disorders

Publication Date





Department of Trauma and Orthopaedics, Ysbyty Gwynedd, Bangor, UK.


Humans, Treatment Outcome, Arthroplasty, Replacement, Hip, Logistic Models, Odds Ratio, Risk Assessment, Risk Factors, Chi-Square Distribution, Prospective Studies, Stress, Psychological, Time Factors, Adult, Aged, Aged, 80 and over, Middle Aged, Patient Satisfaction, Female, Male, Young Adult, Preoperative Period, Surveys and Questionnaires, United Kingdom