Surveillance for hepatocellular carcinoma at the community level: Easier said than done

Figure 2 Hub and spoke model for the diagnosis and follow-up of cirrhotic patients by primary care physicians in the province of Bergamo. In the model, ultrasound surveillance and follow-up of cirrhotics are performed by hepatologists in general hospitals. HBV: Hepatitis B virus; HCV: Hepatitis C virus; OLT: Orthotopic liver transplantation; PCP: Primary care physicians.