Evidence map›Paper›PMID 41659296›Full record

ArticleEJIFCC2026

Sustainability Practices and Green Lab Initiatives in Clinical Laboratories in Pakistan: A National e-Survey-Based Analysis.

Sibtain Ahmed, Alizeh Sonia Fatimi, Imran Siddiqui, Ghazanfar Abbas, Sahar Iqbal, Mohsin Shafi, Khushbakht Arbab, Rizwan Uppal, Asma Shaukat, Muhammad Dilawar Khan and 5 more

Abstract read
In one paragraph

Article in EJIFCC, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Sibtain AhmedSection of Chemical Pathology, Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan.
Alizeh Sonia FatimiMedical College, Aga Khan University, Karachi, Pakistan.
Imran SiddiquiSection of Chemical Pathology, Department of Pathology and Laboratory Medicine, Aga Khan University, Karachi, Pakistan.
Ghazanfar AbbasDepartment of Chemical Pathology, Shifa International Hospital, Islamabad, Pakistan.
Sahar IqbalDepartment of Pathology, Dow International Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Mohsin ShafiDepartment of Pathology, Khyber Medical College, Peshawar, Pakistan.
Khushbakht ArbabDepartment of Pathology, Bolan Medical College, Quetta, Pakistan.
Rizwan UppalIslamabad Diagnostic Center, Islamabad.
Asma ShaukatDepartment of Chemical Pathology, Quaid-e-Azam Medical College, Bahawalpur, Pakistan.
Muhammad Dilawar KhanDepartments of Chemical Pathology, Chughtai Institute of Pathology, Lahore, Pakistan.
Muhammad Qaiser Alam KhanDepartment of Chemical Pathology and Endocrinology, Armed Forces Institute of Pathology, Rawalpindi, Pakistan.
Adnan Mustafa ZubairiClinical Laboratories - Outreach: Indus Hospital & Health Network, Karachi, Pakistan.
Syed Haider Nawaz NaqviDepartment of Chemical Pathology, Sindh Institute of Urology and Transplantation, Karachi.
Junaid Mahmood AlamDepartment of Clinical Biochemistry, Liaquat National Hospital and Medical College, Karachi.
Tomris OzbenMedical Biochemistry, Akdeniz University, Antalya, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Clinical laboratories play a vital role in healthcare but contribute significantly to environmental challenges through high energy consumption, water usage, and waste generation. Pakistan's healthcare sector faces challenges, including limited funding and inadequate awareness of sustainable practices. There is little data on the extent to which clinical laboratories in Pakistan have implemented green practices, making it crucial to assess current efforts and identify barriers to adoption. This study aims to assess the adoption of sustainability and green lab practices in clinical laboratories across Pakistan. Methods: A cross-sectional survey was conducted by the Chemical Pathology section at Aga Khan University (AKU) using a structured questionnaire. The survey comprised 13 sections to evaluate sustainability practices, covering demographics, current green practices (energy efficiency, water conservation, waste management, etc.), barriers to implementation, environmental and cost impacts, and future goals. It assessed laboratories' existing efforts, challenges, and aspirations for improving sustainability. The survey was distributed via Google Forms to major laboratories across Pakistan via WhatsApp and email. Data was analyzed using Excel (Microsoft Corporation, 2018) software. Results: A total of 12 laboratories across the country, from the capital Islamabad and all provincial capitals participated in the survey. Key findings include widespread adoption of energy-efficient lighting (75%) and electronic reporting (91.7%), but limited use of water-saving technologies (8.3%) and renewable energy (0%). Barriers like limited resources (58.3%), lack of staff awareness (50%), and financial constraints (41.7%) hindered green practices, though 41.7% reported moderate cost savings. Future goals focused on green certifications (58.3%), recycling programs (50%), and energy-efficient upgrades (41.7%). Conclusion: Our findings underscore the urgent need for structured sustainability policies, financial incentives, and educational programs to enhance green laboratory practices in Pakistan. While some progress has been made, significant gaps remain in energy efficiency, waste management, and regulatory compliance.

Indexed as

Green LabPakistansurveySustainability

Identifiers

PMID41659296
PMCPMC12882068

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.