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Significant improvement was found in two of eight health domains. The score of social functioning increased to 60.4 from 52.6 ( 0.03) and general health perception increased to 75.1 from 60.5 ( 0.04) at 6-month follow-up. The two STAI sub-scores, the State Anxiety Inventory (STAI-S) and the Trait Anxiety Inventory (STAI-T) were found high (≥ 4 both preoperatively and 6 months postoperatively. Postoperatively there was no significant decrease of the levels of anxiety. This study suggests that the assessment of psychosocial