Mo KC, Gupta A, Movsik J, Covarrubius O, Greenberg M, Riley LH III, Kebaish KM, Neuman BJ, Skolasky RL
| Measure | Finding |
|---|---|
| PSEQ Threshold | Scores <22 predict higher risk outcomes |
| Opioid Use | Strong association with daily preoperative opioid use |
| Pain Levels | Correlated with higher baseline back pain scores |
| Disability | Associated with increased functional disability |
| PROMIS Scores | Lower scores across multiple patient-reported outcome domains |
We incorporate pain self-efficacy assessment into our comprehensive preoperative evaluation to identify patients who may benefit from additional psychological support or pain management strategies before surgery.
Patients with lower self-efficacy scores receive enhanced education, coping strategy training, and coordinated care with pain management specialists to optimize surgical outcomes.
For patients at higher risk for poor outcomes, we prioritize the least invasive surgical options that effectively address their condition, potentially reducing recovery complexity and improving self-efficacy.
Mo KC, Gupta A, Movsik J, Covarrubius O, Greenberg M, Riley LH III, Kebaish KM, Neuman BJ, Skolasky RL. Pain Self-Efficacy (PSEQ) score of <22 is associated with daily opioid use, back pain, disability, and PROMIS scores in patients presenting for spine surgery.Spine. 2023.
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