Novel objective-subjective pain assessment score results in decreased opioid prescription after elective spine surgery: a prospective pilot study - Summary - MDSpire

Novel objective-subjective pain assessment score results in decreased opioid prescription after elective spine surgery: a prospective pilot study

  • By

  • Dia R. Halalmeh

  • Yusuf-Zain Ansari

  • Arwa Jader

  • Ashra Mirza

  • Hazem Eltahawy

  • February 16, 2026

  • 0 min

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Objective:

To examine the role of an Objective-Subjective (OBSUB) Pain Assessment tool in lowering persistent use of narcotic pain medications three months post-surgery and to decrease pre- and postoperative opioid use while maintaining patient satisfaction and effective pain control metrics.

Key Findings:
  • Implementation of the OBSUB pain assessment tool led to a reduction in opioid prescriptions post-surgery.
  • Patients reported similar levels of satisfaction and pain control despite lower opioid use, indicating effective pain management.
  • Objective measures of pain correlated with subjective reports, enhancing pain assessment accuracy.
Interpretation:

The OBSUB tool effectively combines objective clinical indicators with subjective pain reports, potentially reducing opioid dependence while maintaining patient satisfaction.

Limitations:
  • Small sample size may limit generalizability of findings, potentially affecting the applicability of results to broader populations.
  • Exclusion of outliers could affect the robustness of the results, as it may overlook variations in patient responses.
Conclusion:

The OBSUB pain assessment tool shows promise in reducing opioid use following elective spine surgery without compromising patient satisfaction or pain management.

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