Maggie Horn, DPT, MPH, PhD

maggie.horn@duke.edu
Interprofessional Education and Care Building (IPE)
919-684-1365

Dr. Horn is an assistant professor in the Department of Orthopedic Surgery and Doctor of Physical Therapy Division. She is a physical therapist and researcher with an emphasis on health services research in patients with musculoskeletal spine pain. Dr. Horn has 6 years of outpatient orthopaedic and occupational health experience primarily treating patients with musculoskeletal pain disorders. Dr. Horn’s clinical experience has influenced her research interests by understanding pragmatically how the timing and delivery of healthcare services, specifically physical therapy, affect clinical outcomes, healthcare utilization, and costs in patients with musculoskeletal spine pain.

Education

• Post-Doctoral Fellowship, New Investigator Fellowship Training Initiative (NIFTI), Foundation for Physical Therapy, 2016

• PhD, Rehabilitation Sciences, University of Florida, 2013

• MPH, Epidemiology,  University of Florida, 2011

• DPT, Doctor of Physical Therapy, University of Florida, 2010

• BS, Psychology, Oklahoma State University, 2005

Practice

• Orthopaedics, Occupational Health

Research

Dr. Horn’s research is focused on understanding the role that healthcare providers, including physical therapists, play in managing patients with musculoskeletal neck pain and how different management pathways affect patient-centered outcomes and healthcare utilization and costs. The ultimate end goal of this research agenda is to optimize the delivery of healthcare to realize both direct and indirect healthcare benefits and cost savings for patients, healthcare providers, and payers.  

Recent publications

• George, Steven Z., Michael P. Bolognesi, Nrupen A. Bhavsar, Colin T. Penrose, and Maggie E. Horn. “Response to the Comment from Riddle and Ghomrawi.” J Pain 23, no. 6 (June 2022): 1094–95. https://doi.org/10.1016/j.jpain.2022.02.001.

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• Horn, Maggie E., Steven Z. George, Adam P. Goode, Emily K. Reinke, Lily G. Scott, and Michael P. Bolognesi. “Can Patient-Reported Outcome Measurement Information System Measures Differentiate Patients Who Will Undergo Hip and Knee Total Joint Arthroplasty: A Retrospective Case-Control Study.” J Arthroplasty 37, no. 6S (June 2022): S56–62. https://doi.org/10.1016/j.arth.2022.02.053.

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• Chang, Kuangshrian, Susan Silva, Maggie Horn, Michael P. Cary, Shawna Schmidt, and Victoria M. Goode. “Presurgical and Postsurgical Opioid Rates in Patients Undergoing Total Shoulder Replacement Surgery.” Pain Manag Nurs 23, no. 2 (April 2022): 128–34. https://doi.org/10.1016/j.pmn.2021.08.008.

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• George, Steven Z., Michael P. Bolognesi, Nrupen A. Bhavsar, Colin T. Penrose, and Maggie E. Horn. “Chronic Pain Prevalence and Factors Associated With High Impact Chronic Pain following Total Joint Arthroplasty: An Observational Study.” J Pain 23, no. 3 (March 2022): 450–58. https://doi.org/10.1016/j.jpain.2021.09.007.

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• Schmidt, Shawna, Kuang Shrian-Chang, Susan Silva, Victoria Goode, Maggie Horn, and Michael P. Cary. “Preoperative and Postoperative Opioid Prescription Rates in the Total Hip Replacement Surgical Patient.” Orthop Nurs 40, no. 6 (November 2021): 366–74. https://doi.org/10.1097/NOR.0000000000000808.

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• Horn, Maggie E., Emily K. Reinke, Xiaofang Yan, Sheng Luo, Michael Bolognesi, Bryce B. Reeve, Steven Z. George, and Steven Z. Comprehensive Outcomes in Orthopaedics and Rehabilitation Data System (COORDS) group. “Use of Patient-Reported Outcomes Measurement Information System (PROMIS) measures to characterise health status for patients seeking care from an orthopaedic provider: a retrospective cohort study.” Bmj Open 11, no. 9 (September 2, 2021): e047156. https://doi.org/10.1136/bmjopen-2020-047156.

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• George, Steven Z., Xiaofang Yan, Sheng Luo, Steven A. Olson, Emily K. Reinke, Michael P. Bolognesi, and Maggie E. Horn. “Can PROMIS measures be used to create subgroups for patients seeking orthopaedic care?” Bone Jt Open 2, no. 7 (July 2021): 493–502. https://doi.org/10.1302/2633-1462.27.BJO-2021-0045.R1.

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• Horn, Maggie E., Emily K. Reinke, Richard C. Mather, Jonathan D. O’Donnell, and Steven Z. George. “Electronic health record-integrated approach for collection of patient-reported outcome measures: a retrospective evaluation.” Bmc Health Serv Res 21, no. 1 (June 30, 2021): 626. https://doi.org/10.1186/s12913-021-06626-7.

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• Stringham, Nicole, Gabrielle Simmons, and Maggie Horn. “The Anatomy Training Program: Mentoring the trainee through engagement in virtual curriculum and resource review.” In The Faseb Journal, Vol. 35. Wiley, 2021. https://doi.org/10.1096/fasebj.2021.35.s1.01884.

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• Ohnuma, Tetsu, Karthik Raghunathan, Matthew Fuller, Alan R. Ellis, Eric A. JohnBull, Raquel R. Bartz, Mihaela S. Stefan, Peter K. Lindenauer, Maggie E. Horn, and Vijay Krishnamoorthy. “Trends in Comorbidities and Complications Using ICD-9 and ICD-10 in Total Hip and Knee Arthroplasties.” J Bone Joint Surg Am 103, no. 8 (April 21, 2021): 696–704. https://doi.org/10.2106/JBJS.20.01152.

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• Reynolds, Kelly, Caroline Bazemore, Cannon Hanebuth, Steph Hendren, and Maggie Horn. “The relationship of non-cognitive factors to academic and clinical performance in graduate rehabilitation science students in the United States: a systematic review.” Journal of Educational Evaluation for Health Professions 18 (January 2021): 31. https://doi.org/10.3352/jeehp.2021.18.31.

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• Horn, Maggie E., Steven Z. George, Cai Li, Sheng Luo, and Trevor A. Lentz. “Derivation of a Risk Assessment Tool for Prediction of Long-Term Pain Intensity Reduction After Physical Therapy.” J Pain Res 14 (2021): 1515–24. https://doi.org/10.2147/JPR.S305973.

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• Horn, Maggie E., Emily K. Reinke, Logan J. Couce, Bryce B. Reeve, Leila Ledbetter, and Steven Z. George. “Reporting and utilization of Patient-Reported Outcomes Measurement Information System® (PROMIS®) measures in orthopedic research and practice: a systematic review.” J Orthop Surg Res 15, no. 1 (November 23, 2020): 553. https://doi.org/10.1186/s13018-020-02068-9.

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• Clewley, Derek, Yusra Iftikhar, Maggie E. Horn, and Daniel I. Rhon. “Do the Number of Visits and the Cost of Musculoskeletal Care Improve Outcomes? More May Not Be Better.” J Orthop Sports Phys Ther 50, no. 11 (November 2020): 642–48. https://doi.org/10.2519/jospt.2020.9440.

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• Talty, Francis T., Michelle E. Roberts, Christine Dang, Derek J. Clewley, and Maggie E. Horn. “Using a behavioral model to identify factors associated with choice of provider for neck and low back pain: A systematic review.” In Musculoskelet Sci Pract, 49:102223, 2020. https://doi.org/10.1016/j.msksp.2020.102223.

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• George, Steven Z., Cai Li, Sheng Luo, Maggie E. Horn, and Trevor A. Lentz. “Longitudinal Monitoring of Pain Associated Distress With the Optimal Screening for Prediction of Referral and Outcome Yellow Flag Tool: Predicting Reduction in Pain Intensity and Disability.” Arch Phys Med Rehabil 101, no. 10 (October 2020): 1763–70. https://doi.org/10.1016/j.apmr.2020.05.025.

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• White, Hannah J., Jensyn Bradley, Nicholas Hadgis, Emily Wittke, Brett Piland, Brandi Tuttle, Melissa Erickson, and Maggie E. Horn. “Predicting Patient-Centered Outcomes from Spine Surgery Using Risk Assessment Tools: a Systematic Review.” Curr Rev Musculoskelet Med 13, no. 3 (June 2020): 247–63. https://doi.org/10.1007/s12178-020-09630-2.

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• Simon, C., S. Eucker, H. Lee, and M. Horn. “(285) Opioid Prescription in the Emergency Department for Patients with Axial Pain: Comparisons by Age Group.” In The Journal of Pain, 20:S45–46. Elsevier BV, 2019. https://doi.org/10.1016/j.jpain.2019.01.207.

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• Horn, Maggie E., and Julie M. Fritz. “Timing of physical therapy consultation on 1-year healthcare utilization and costs in patients seeking care for neck pain: a retrospective cohort.” Bmc Health Serv Res 18, no. 1 (November 26, 2018): 887. https://doi.org/10.1186/s12913-018-3699-0.

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• Kim, Rebecca, Colin Wiest, Kelly Clark, Chad Cook, and Maggie Horn. “Identifying risk factors for first-episode neck pain: A systematic review.” Musculoskelet Sci Pract 33 (February 2018): 77–83. https://doi.org/10.1016/j.msksp.2017.11.007.

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• Horn, Maggie E., Steven Z. George, and Julie M. Fritz. “Influence of Initial Provider on Health Care Utilization in Patients Seeking Care for Neck Pain.” Mayo Clin Proc Innov Qual Outcomes 1, no. 3 (December 2017): 226–33. https://doi.org/10.1016/j.mayocpiqo.2017.09.001.

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• Penza, Charles W., Maggie E. Horn, Steven Z. George, and Mark D. Bishop. “Comparison of 2 Lumbar Manual Therapies on Temporal Summation of Pain in Healthy Volunteers.” J Pain 18, no. 11 (November 2017): 1397–1408. https://doi.org/10.1016/j.jpain.2017.07.007.

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• Horn, Maggie E., Gerard P. Brennan, Steven Z. George, Jeffrey S. Harman, and Mark D. Bishop. “Clinical Outcomes, Utilization, and Charges in Persons With Neck Pain Receiving Guideline Adherent Physical Therapy.” Eval Health Prof 39, no. 4 (December 2016): 421–34. https://doi.org/10.1177/0163278715583510.

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• Horn, Maggie E., Gerard P. Brennan, Steven Z. George, Jeffrey S. Harman, and Mark D. Bishop. “A value proposition for early physical therapist management of neck pain: a retrospective cohort analysis.” Bmc Health Serv Res 16 (July 12, 2016): 253. https://doi.org/10.1186/s12913-016-1504-5.

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• Horn, Maggie E., Gerard P. Brennan, Steven Z. George, Jeffrey S. Harman, and Mark D. Bishop. “Description of Common Clinical Presentations and Associated Short-Term Physical Therapy Clinical Outcomes in Patients With Neck Pain.” Arch Phys Med Rehabil 96, no. 10 (October 2015): 1756–62. https://doi.org/10.1016/j.apmr.2015.06.012.

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• Gay, C. W., M. E. Horn, M. D. Bishop, M. E. Robinson, and J. E. Bialosky. “Investigating dynamic pain sensitivity in the context of the fear-avoidance model.” Eur J Pain 19, no. 1 (January 2015): 48–58. https://doi.org/10.1002/ejp.519.

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• Childs, John D., Jeffrey S. Harman, Jason R. Rodeghero, Maggie Horn, and Steven Z. George. “Implications of practice setting on clinical outcomes and efficiency of care in the delivery of physical therapy services.” J Orthop Sports Phys Ther 44, no. 12 (December 2014): 955–63. https://doi.org/10.2519/jospt.2014.5224.

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• Bialosky, Joel E., Steven Z. George, Maggie E. Horn, Donald D. Price, Roland Staud, and Michael E. Robinson. “Spinal manipulative therapy-specific changes in pain sensitivity in individuals with low back pain (NCT01168999).” J Pain 15, no. 2 (February 2014): 136–48. https://doi.org/10.1016/j.jpain.2013.10.005.

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• Horn, Maggie E., Meryl J. Alappattu, Charles W. Gay, and Mark Bishop. “Fear of severe pain mediates sex differences in pain sensitivity responses to thermal stimuli.” Pain Res Treat 2014 (2014): 897953. https://doi.org/10.1155/2014/897953.

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• Horn, Maggie E., and Mark D. Bishop. “Flexion Relaxation Ratio Not Responsive to Acutely Induced Low Back Pain from a Delayed Onset Muscle Soreness Protocol.” Isrn Pain 2013 (2013): 617698. https://doi.org/10.1155/2013/617698.

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• Gay, Charles W., Meryl J. Alappattu, Rogelio A. Coronado, Maggie E. Horn, and Mark D. Bishop. “Effect of a single session of muscle-biased therapy on pain sensitivity: a systematic review and meta-analysis of randomized controlled trials.” J Pain Res 6 (2013): 7–22. https://doi.org/10.2147/JPR.S37272.

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• Bishop, Mark D., Maggie E. Horn, Donovan J. Lott, Ishu Arpan, and Steven Z. George. “Magnitude of spinal muscle damage is not statistically associated with exercise-induced low back pain intensity.” Spine J 11, no. 12 (December 2011): 1135–42. https://doi.org/10.1016/j.spinee.2011.11.005.

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• Bishop, Mark D., Maggie E. Horn, and Steven Z. George. “Exercise-induced pain intensity predicted by pre-exercise fear of pain and pain sensitivity.” Clin J Pain 27, no. 5 (June 2011): 398–404. https://doi.org/10.1097/AJP.0b013e31820d9bbf.

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• Bishop, Mark D., Maggie E. Horn, Steven Z. George, and Michael E. Robinson. “Self-reported pain and disability outcomes from an endogenous model of muscular back pain.” Bmc Musculoskelet Disord 12 (February 2, 2011): 35. https://doi.org/10.1186/1471-2474-12-35.

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• Bishop, Mark D., Jason G. Craggs, Maggie E. Horn, Steven Z. George, and Michael E. Robinson. “Relationship of intersession variation in negative pain-related affect and responses to thermally-evoked pain.” J Pain 11, no. 2 (February 2010): 172–78. https://doi.org/10.1016/j.jpain.2009.07.006.

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• Clewley, Derek, M. Horn, Y. Iftikhar, and D. Rhon. “The relationship between health care utilization and changes in self-reported pain and disability: Is more better?,” n.d.

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Awards and honors

• Best Research Platform Presentation. Research Committee, Section on Health Policy and Administration. February 2016.
• Traveling Research Fellowship Grant. Section on Research, American Physical Therapy Association. 2015
• Graduate Student Travel Grant. University of Florida College of Public Health and Health Professions. 2010
• Outstanding Honors Research Project Award ( Co-author and Mentor to awardee). University of Florida College of Public Health and Health Professions. 2009. 
• Student Developing Leadership Award. Florida Physical Therapy Association. 2009.
• Shands Auxiliary Scholarship. University of Florida College of Public Health and Health Professions. 2009.
• Claudette Finely Scholarship for Excellence in Anatomy. Department of Physical Therapy, University of Florida. 2008.
• Florida Public Health Association Graduate Scholarship. Florida Public Health Association. 2007.
• Wentz Research Scholarship. Oklahoma State University. 2004