Evidence map›Paper›PMID 42032136›Full record

ReviewVirchows Archiv : an international journal of pathology2026

"Green-path": planting seeds for environmental sustainability in diagnostic and research surgical pathology.

Alessandro Gambella, Simona Pigozzi, Michele Paudice, Roberto Fiocca, Luca Mastracci, Federica Grillo

Abstract readReview
PubMed Publisher
In one paragraph

Review in Virchows Archiv : an international journal of pathology, 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

6 authors.

Alessandro GambellaPathology Unit, Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, Italy.ORCID http://orcid.org/0000-0001-7826-002X
Simona PigozziPathology Unit, Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, Italy.ORCID http://orcid.org/0000-0001-5339-0629
Michele PaudicePathology Unit, Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, Italy.ORCID http://orcid.org/0000-0003-4188-4247
Roberto FioccaPathology Unit, Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, Italy.ORCID http://orcid.org/0000-0002-8856-6185
Luca MastracciPathology Unit, Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, Italy.ORCID http://orcid.org/0000-0003-0193-5281
Federica GrilloPathology Unit, Department of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, Genoa, Italy. federica.grillo@unige.it.ORCID http://orcid.org/0000-0001-6477-3182

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgical pathology represents a resource-intensive component of healthcare systems due to continuous operation, energy-demanding infrastructure, extensive use of hazardous chemicals, and high volumes of single-use consumables. Despite this, surgical pathology has historically received limited attention within sustainability research and policy frameworks. This narrative review examines the concept of green pathology, defined as the practice of pathology in a manner that minimizes environmental impact while preserving diagnostic accuracy, patient safety, and regulatory compliance. We first contextualized green pathology within the broader sustainability movement in healthcare and laboratory medicine and then proceeded to summarize transferable lessons from sustainability initiatives implemented in non-pathology laboratories and related medical disciplines, including energy management, green chemistry, waste reduction, digital transformation, and governance frameworks. Subsequently, we focused on surgical pathology-specific opportunities for sustainability across the pre-analytical, analytical, and post-analytical phases. Key interventions include optimization of energy consumption and laboratory infrastructure, chemical stewardship in histopathology, solvent recovery and reduction of hazardous waste, rational use of consumables, diagnostic stewardship, and the responsible adoption of ancillary techniques and digital pathology. Within this framework, education, workforce engagement, and Environmental Management Systems emerge as critical enablers for sustained change. Our overall aim is to present green pathology as a natural extension of pathology's commitment to quality, safety, and long-term healthcare sustainability rather than as an optional environmental initiative.

Indexed as

Energy efficiencyEnvironmental sustainabilitySustainable pathologyWaste management

Identifiers

PMID42032136

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.