ArticleCureus2025
A Roadmap From Feasibility to Reality: Can Greece Establish and Sustain a Transplant-Hepatopancreatobiliary (HPB) Fellowship?
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Ten years of the European association of endoscopic surgery (EAES) fellowship programme: outcomes and future perspective.Surgical endoscopy · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Hepatopancreatobiliary (HPB) and transplant surgery in Greece has expanded significantly, with high-volume centers in Athens and Thessaloniki achieving outcomes that meet international benchmarks. Despite adequate case volume, no structured fellowship pathway exists, driving many surgeons abroad and perpetuating workforce attrition. We assessed the feasibility of establishing a national transplant-HPB fellowship in Greece and defined key structural requirements. We reviewed national case volumes in HPB and transplant surgery, benchmarked outcomes against international standards, and identified systemic barriers to fellowship development. We then developed a proposed framework for a national consortium fellowship, including curriculum design, accreditation pathways, funding strategies, and faculty recruitment. Barriers include a lack of formal accreditation mechanisms, fragmented case distribution, insufficient protected faculty time, and limited integration of robotics and simulation. A roadmap for implementation includes (1) creation of a national training consortium; (2) adoption of competency-based curricula aligned with International Hepato-Pancreato-Biliary Association (IHPBA)/American Society of Transplant Surgeons (ASTS) standards; (3) diversified funding through the National Health System, universities, foundations, and professional societies; and (4) repatriation of internationally trained faculty to strengthen mentorship and accreditation compliance. Greece possesses sufficient case volume and expertise to support an accredited transplant-HPB fellowship. Establishing a national program through resource consolidation, diversified funding, and international collaboration would not only mitigate surgical brain drain but also position Greece as a regional training hub in advanced HPB and transplant surgery.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.