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HAGOS · Copenhagen Hip and Groin Outcome Score

37 items · 10 min · 0–100 per subscale · higher is better

1 Before you use it

What it is

The groin measure, and the reason the groin pages have a PROM. Thirty-seven items across six subscales — symptoms, pain, function in daily living, function in sport and recreation, participation in physical activity, and hip/groin-related quality of life.

Built in and for athletes, which is the point — the Doha agreement entities are a sporting problem.

When to reach for it

Any groin presentation — adductor-related, pubic-related, iliopsoas-related, inguinal-related — at baseline, at loading progressions and at return-to-sport decisions.

Pair it with the adductor squeeze test. HAGOS gives the patient's account; the squeeze gives you a number that moves.

2 Giving it

Scoring

Six subscales, each 0–100, reported separately. Higher is better. Never collapse to one number.

What it doesn’t measure

Strength. Adductor squeeze at 0° and 45°, and hip abduction and adduction dynamometry, are separate and they matter here more than in most regions.

Repeat it

All six subscales, separately, at intake and each 4-to-6-week review. Never a single total.

3 Reading the score

Interpreting it

Interpret against baseline.

The participation subscale is the return-to-sport conversation. An athlete with good pain and function scores who is still not participating has told you the decision isn't made yet.

Is the change real?

MDC 17.7–33.8 points at the individual level depending on subscale. Compare the change against this patient's own baseline as well as the figure. SourceMeasured in hip and groin pain.

On placement

Adductor-related groin pain in a footballer, 6 weeks in. HAGOS Pain 55 → 70; Sport/Rec 40 → 52; Participation 25 → 25.

Read it as the MDC for one person runs 17.7–33.8 points depending on subscale (measured in hip and groin pain), so a 15-point Pain gain and a 12-point Sport gain are both inside measurement error — encouraging, not proven. The library carries no MCID. Participation hasn't moved at all.

Do the flat Participation subscale is the return-to-sport conversation. Have it; don't wait for the number.

Student trap. Using HOOS for groin pain because it's the hip one you know. Different population, different construct, wrong instrument.

Official source: hvidovrehospital.dk. We don't host the form.

This is a learning tool. It does not diagnose patients and does not replace your clinical educator.

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