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

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

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.

References

    1. 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.
    1. Gandhi R, Davey JR, Mahomed NN. Predicting patient dissatisfaction following joint replacement surg. J Rheumatol. 2008;35(12):2415–8. doi: 10.3899/jrheum.080295.
    1. 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.
    1. 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. doi: 10.1001/archinte.161.3.454.
    1. 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.
    1. Weng HH, Fitzgerald J. Current issues in joint replacement surgery. Curr Opin Rheumatol. 2006;18(2):163–169. doi: 10.1097/01.bor.0000209428.69528.96.
    1. 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.
    1. Lingard EA, Riddle D. Impact of Psychological Distress on Pain and Function Following Knee Arthroplasty. J Bone Joint Surg Am. 2007;89:1161–1169. doi: 10.2106/JBJS.F.00914.
    1. 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. doi: 10.1302/0301-620X.91B2.20765.
    1. Riediger W, Doering S, Krismer M. Depression and somatisation influence the outcome of total hip replacement. Int Orthop. 2010;34:13–18. doi: 10.1007/s00264-008-0688-7.
    1. European community Health Indicators Monitoring. (accessed on 24 May, 2011)
    1. Mancuso CA, Salvati EA, Johanson NA, Peterson ME, Charlson ME. Patients' expectations and satisfaction with total hip arthroplasty. J Arhtroplasty. 1997;12:387–396.
    1. Anawake RE, Jenkins PJ, moran M. Predicting dissatisfaction after total hip arthroplasty: a study of 850 patients. J Arthroplasty. 2011;26:209–213. doi: 10.1016/j.arth.2010.03.013.
    1. Robertson O, dunbar MJ. Patient satisfaction compared with general health and disease-specific questionnaires in knee arthroplasty patients. J Arthroplasty. 2001;16:476–482. doi: 10.1054/arth.2001.22395a.
    1. 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. doi: 10.1016/j.jclinepi.2007.10.014.
    1. 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. doi: 10.1186/1471-2474-11-121.
    1. Jinks C, Lewis M, Croft P. Health status after hip or knee Arthroplasty. Ann Rheum Dis. 2003;62:700–701. doi: 10.1136/ard.62.8.700.
    1. 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. doi: 10.1136/ard.62.10.923.
    1. 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. doi: 10.1007/s00127-009-0045-1.
    1. 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. doi: 10.1016/j.janxdis.2009.02.007.
    1. 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. doi: 10.1002/da.20072.
    1. 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. doi: 10.1016/j.arth.2004.06.019.
    1. 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. doi: 10.1097/01.blo.0000185447.43622.93.
    1. 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.
    1. 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. doi: 10.1016/S0163-8343(03)00062-8.

Source: PubMed

Sponsors et collaborateurs

Les conditions médicales

Interventions en matière de drogue

3
S'abonner