Patient satisfaction and quality of life after total hip arthroplasty

Total hip arthroplasty (THA) is a common orthopedic procedure used to relieve pain, improve function and enhance health-related quality of life (HRQoL) in patients with end-stage hip diseases. Despite robust documentation of clinical results, patient-reported outcomes (PROs) such as satisfaction and quality of life are becoming clearly considered integral components of surgical success. Appreciating these results inform the optimal perioperative care as well as shared decision making. The purpose of this study was to assess patient satisfaction and HRQoL in patients after primary THA and examine the impact of demography, preoperative function status as well as recovery on overall patient experience. A prospective observational cohort study was carried out in Tikrit Teaching Hospital from January 2025 to January 2026 on three hundred and fifty adult patients aged 40-80 years who underwent primary THA. Patients were evaluated with structured questionnaires at preoperative and at 1, 3, 6 and 12 months postoperatively. The outcomes of pain (VAS), function (HOOS JR), HRQoL (PROMIS Physical and Mental Health Scores) and overall satisfaction (5-point Likert scale) were studied. Statistical testing included paired t-tests, analysis of variance (ANOVA), chi-square tests and multivariate regression to determine factors predictive of satisfaction and HRQoL. Pain (VAS mean 7.2 to 1.8), and HOOS JR/PROMIS scores were significantly improved at all follow-up time points for patients (p