The review examined 142 peer-reviewed studies on forest pathogen biology, how outbreaks spread, diagnostic approaches, and management strategies. Fungal pathogens made up the largest share of the research, but oomycetes and nematodes were also strongly represented.

Across pathogen groups, the authors report evidence that drought stress and temperature-driven range shifts can increase pathogen pressure. They also describe how molecular diagnostics—such as environmental DNA monitoring, DNA amplification tests, and metagenomic sequencing—have moved detection toward earlier, landscape-scale warning. However, the authors find an evidence-to-practice gap remains in how these tools are used within integrated forest management.