Novel objective-subjective pain assessment score results in decreased opioid prescription after elective spine surgery: a prospective pilot study - Takeaways - MDSpire
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Innovative Pain Assessment Score Combining Objective and Subjective Measures Leads to Reduced Opioid Use Following Elective Spine Surgery: A Prospective Pilot Investigation

  • By

  • Dia R. Halalmeh

  • Yusuf-Zain Ansari

  • Arwa Jader

  • Ashra Mirza

  • Hazem Eltahawy

  • February 16, 2026

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  • 1

    Opioid-related deaths in the U.S. exceeded 42,000 in 2016, highlighting the need for improved pain management strategies in spine surgery.

  • 2

    Current postoperative pain management often relies on subjective pain reports, leading to overprescription of opioids and increased risk of dependence.

  • 3

    The study introduces the Objective-Subjective (OBSUB) Pain Assessment tool to better tailor opioid prescriptions and reduce long-term opioid use.

  • 4

    Data from 44 patients were analyzed to assess pain scores, opioid consumption, and patient satisfaction before and after implementing the OBSUB protocol.

  • 5

    The OBSUB scale combines subjective pain experiences with objective clinical signs, aiming to enhance pain assessment and improve patient outcomes.

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