Airton Tetelbom Stein

Scopus Publications

Integrating planetary health considerations into health guidelines: decision-making bodies must show leadership
Maria-Inti Metzendorf, Mehdi Aloosh, Lorna Benton, Javier Bracchiglione Pérez, Miranda Cumpston, et al.
BMJ Leader, 2026
Minimally invasive surgery (robot-assisted or laparoscopic) versus open surgery for presumed benign ovarian tumours
Lidia RF Medeiros, Maria Ines da Rosa, Tamy Colonetti, Antonio Jose Grande, Maria Laura Rodrigues Uggioni, et al.
Cochrane Database of Systematic Reviews, 2026
Towards early diagnosis of Preeclampsia: Emerging roles of circulating microRNAs
Guilherme Brasil Grezzana, Airton Tetelbom Stein, Melissa Medeiros Markoski
European Journal of Obstetrics and Gynecology and Reproductive Biology, 2026
Burden of disease and life expectancy decomposition in Brazil and its federated units, 1990–2023: an analysis based on the global burden of disease study 2023
Luisa C. Brant, Mariana Santos Felisbino-Mendes, Renato Azeredo Teixeira, Ana Maria Nogales Vasconcelos, Fatima Marinho, et al.
Lancet Regional Health Americas, 2026
Locally adapted guidelines: a scoping review
Dawid Pieper, Alexander Pachanov, Carolin Bahns, Robert Prill, Christian Kopkow, et al.
Systematic Reviews, 2025
Background Clinical practice guidelines (CPGs) often fail to be fully implemented in practice. One barrier to CPG implementation is inconsistency between recommendations and existing practice patterns. This can include patients, personnel, structure, availability of resources, cultural and ethical values. To account for this, it is feasible to tailor national CPGs to a regional or local context (e.g. hospital). Local ownership can be beneficial and help to implement the guideline without affecting guideline validity. This process is also known as guideline adaptation. We aimed to identify randomized controlled trials (RCTs) investigating the effectiveness of locally adapted CPGs. Methods We performed a scoping review, following the JBI guidance. The scoping review was registered with the Open Science Framework (https://osf.io/3ed2w). The intervention had to be a locally adapted guideline (locally meaning adapted to any delineated area and/or entity at subnational and/or transnational level). Co-interventions were accepted. We did not restrict the control group. As we considered locally adapted guidelines as an intervention, and it seems feasible to test locally adapted guidelines in trials, we only considered RCTs, including cluster-RCTs. PubMed and Embase were searched in November 2024. Two reviewers independently screened titles and abstracts, full-text articles, and charted data. Conflicts were resolved by involving a third reviewer. Data were summarized descriptively. The findings were discussed with knowledge users. Results Five cluster RCTs reported in 8 publications and published between 2000 and 2010, were included. The trials originated from the UK, Scotland, Australia, the US, and the Netherlands. The adapted CPGs focused on diabetes, asthma, smoking cessation, mental disorders, and menorrhagia and urinary incontinence. The number of sites (e.g. practices) ranged from 4 to 30. Reporting was mostly insufficient to understand how adaptation was performed. Interventions always included some form of dissemination, such as educational meetings or workshops. Conclusions There is a lack of RCTs investigating the effectiveness of locally adapted guidelines. A systematic review is unwarranted due to the clinical and methodological heterogeneity of these trials. The identified studies were largely conducted over 20 years ago, highlighting a significant knowledge gap. The reasons for the lack of similar studies today are unclear, which is surprising given advances in adaptation frameworks in guideline development. As the importance of contextualization is emphasized, future studies on locally adapted guidelines should be conducted with strong rationale supported by local data. Without a sound rationale, there is a risk that evidence-based, high-quality guidelines could be undermined. In future trials, authors should closely adhere to reporting guidelines. Systematic review registration https://osf.io/3ed2w.
Informative statements to communicate the findings of systematic reviews of interventions: cross-cultural translation of Grading of Recommendations, Assessment, Development and Evaluation plain language into Portuguese language
Suena Parahiba, Gilson Dorneles, Airton Tetelbom Stein, Haliton Alves de Oliveira Junior, Juliana C. Ferreira, et al.
Journal of Clinical Epidemiology, 2025
Corrigendum to GRADE guidance 39: using GRADE-ADOLOPMENT to adopt, adapt or create contextualized recommendations from source guidelines and evidence syntheses [Journal of Clinical Epidemiology 81 (2024) 111494] (Journal of Clinical Epidemiology (2024) 174, (S0895435624002506), (10.1016/j.jclinepi.2024.111494))
Miloslav Klugar, Tamara Lotfi, Andrea J. Darzi, Marge Reinap, Jitka Klugarová, et al.
Journal of Clinical Epidemiology, 2025
Roraima on Alert: hospitalizations for conditions sensitive to primary care in children
Airton Tetelbom Stein, Juvenal Soares Dias da Costa, Rafaela Soares Rech
Revista Brasileira De Epidemiologia, 2025
This ecological study analyzes hospitalizations due to pri - mary care-sensitive conditions (HPCSC), an indicator widely used to assess the quality of primary health care and the organization of local health systems. The findings present a concerning situation: contrary to national trends showing a
M-Health Solution to Support the Monitoring of Elderly Patients After Hospital Discharge
Silvio César Cazella, Fernanda Viegas Dihl, Airton Tetelbom Stein, Leticia Rocha Machado
Lecture Notes in Networks and Systems, 2025
Epidemiological profile of surgical treatment of lung cancer: retrospective analysis, Brazil, 2014-2023
Arthur Minas Alberti, Lucas Kieling, Pedro Bortoluzzi Escobar da Silva, Fernando Silvestre Azambuja, Luísa Godoy, et al.
Epidemiologia E Servicos De Saude, 2025
Objective To analyze the socioeconomic influences on the surgical treatment of lung cancer in Brazil and to provide reflection points to propose more effective strategies for tackling this disease. Methods Data from 2014 to 2023 were extracted from the Hospital Information System of the Brazilian Unified Health System and the Brazilian Institute of Geography and Statistics. Sex and region of origin of patients who underwent surgical procedures for lung cancer were analyzed. Statistical analyses were performed using GraphPadPrism software version 8.0.1 and R software version 4.4.2. Results 20,805 surgical procedures and 112,118 diagnoses of malignant neoplasms of the bronchi and lungs in Brazil were analyzed between 2014 and 2023. Women accounted for 50.6% of the procedures. Men accounted for 54.7% of the diagnoses. There was no significant difference between sexes in terms of procedures performed or consultations (p-value>0.05). The South region had the highest rate of procedures (20.1/1 million inhabitants/year). The North region had the lowest rate of procedures (3.5/1 million). A 51.6% increase in procedures was identified over the decade, with positive correlations between the Human Development Index (r=0.62; p-value<0.001) and per capita income (r=0.48; p-value 0.010) with procedures. Conclusion Socioeconomic factors appear to influence access to surgical treatment of lung cancer in Brazil, with significant regional disparities, especially in the North and Northeast regions. The increase in surgical procedures reflects technological advances and public policies, but inequalities in access persist. Investments in infrastructure and equitable policies are essential to address these inequalities.
Systems approach in planetary health education for medical students: a mixed methods study
Rafaela Brugalli Zandavalli, Airton Tetelbom Stein, Tatiana Souza de Camargo
BMC Medical Education, 2024
Environmental pollutants as risk factors for autism spectrum disorders: a systematic review and meta-analysis of cohort studies
Tatiana Duque-Cartagena, Marcello Dala Bernardina Dalla, Eduardo Mundstock, Felipe Kalil Neto, Sergio Angelo Rojas Espinoza, et al.
BMC Public Health, 2024
Guidance for engagement in health guideline development: A scoping review
Jennifer Petkovic, Alison Riddle, Lyubov Lytvyn, Joanne Khabsa, Elie A. Akl, et al.
Campbell Systematic Reviews, 2024
GRADE guidance 39: using GRADE-ADOLOPMENT to adopt, adapt or create contextualized recommendations from source guidelines and evidence syntheses
Journal of Clinical Epidemiology, 2024
Estimating an EQ-5D-Y-3L Value Set for Brazil
Caique Melo Espirito Santo, Gisela Cristiane Miyamoto, Verônica Souza Santos, Ângela Jornada Ben, Aureliano Paolo Finch, et al.
Pharmacoeconomics, 2024
The role of scoping reviews in guideline development
Danielle Kelly Pollock, Hanan Khalil, Catrin Evans, Christina Godfrey, Dawid Pieper, et al.
Journal of Clinical Epidemiology, 2024
How do machine learning models perform in the detection of depression, anxiety, and stress among undergraduate students? A systematic review
Bruno Luis Schaab, Prisla Ücker Calvetti, Sofia Hoffmann, Gabriela Bertoletti Diaz, Maurício Rech, et al.
Cadernos De Saude Publica, 2024
Factors associated with higher quality of clinical practice guidelines and their recommendations for the pharmacological treatment of depression: A systematic review
Franciele Cordeiro Gabriel, Daniela Oliveira de Melo, Airton Tetelbom Stein, Géssica Caroline Henrique Fontes-Mota, Itamires Benício dos Santos, et al.
BMJ Open, 2023
Risk of bias and certainty of evidence on the association between obesity and mortality in patients with SARS-COV-2: An umbrella review of meta-analyses
Flávia M. Silva, Julia Lima, Paula P. Teixeira, Guilherme B. Grezzana, Mabel Figueiro, et al.
Clinical Nutrition Espen, 2023
Guidelines' recommendations for the treatment-resistant depression: A systematic review of their quality
Franciele Cordeiro Gabriel, Airton Tetelbom Stein, Daniela de Oliveira Melo, Gessica Caroline Henrique Fontes-Mota, Itamires Benício dos Santos, et al.
Plos One, 2023
Quality appraisal of clinical nutrition practice guidelines for critically ill adult patients: a systematic review using the Advancing Guideline Development, Reporting and Evaluation in Health Care instrument II (AGREE-II) and AGREE-Recommendation Excellence (AGREE-REX)
Aline Cattani, Paula Portal Teixeira, Igor da Conceição Eckert, Fernanda Busnello, Franciele Gabriel, et al.
British Journal of Nutrition, 2023
Low-Risk Antenatal Care Enhanced by Telemedicine: A Practical Guideline Model
Talita Colombo, Lorenza Bridi Todeschini, Mariana Orlandini, Hallana do Nascimento, Franciele Cordeiro Gabriel, et al.
Revista Brasileira De Ginecologia E Obstetricia, 2022
PROTOCOL: Guidance for stakeholder engagement in guideline development: A systematic review
Jennifer Petkovic, Alison Riddle, Lyubov Lytvyn, Joanne Khabsa, Elie A. Akl, et al.
Campbell Systematic Reviews, 2022
Effect of oral exercises and photobiomodulation therapy in the rehabilitation of patients with mandible fractures: randomized double-blind clinical trial
Karoline Weber dos Santos, Fernando Neves Hugo, Esther da Cunha Rodrigues, Airton Tetelbom Stein, Juliana Balbinot Hilgert
Lasers in Medical Science, 2022
Quality of clinical practice guidelines for inadequat response to first-line treatment for depression according to AGREE II checklist and comparison of recommendations: a systematic review
Franciele Cordeiro Gabriel, Airton Tetelbom Stein, Daniela Oliveira de Melo, Géssica Caroline Henrique Fontes-Mota, Itamires Benício dos Santos, et al.
BMJ Open, 2022

RECENT SCHOLAR PUBLICATIONS

Burden of disease and life expectancy decomposition in Brazil and its federated units, 1990–2023: an analysis based on the global burden of disease study 2023
LC Brant, MS Felisbino-Mendes, RA Teixeira, AMN Vasconcelos, ...
The Lancet Regional Health–Americas 57 , 2026
2026
Transvaginal Radiofrequency Ablation for Symptomatic Uterine Fibroids: A Systematic Review and Meta-analysis of Effectiveness, Safety, and Reproductive Outcomes
GDGR Thomaz, LG Kautz, GP Macelaro, MM Borges, BL Garmatz, ...
Journal of Minimally Invasive Gynecology , 2026
2026
Minimally invasive surgery (robot‐assisted or laparoscopic) versus open surgery for presumed benign ovarian tumours
LRF Medeiros, MI da Rosa, T Colonetti, AJ Grande, MLR Uggioni, ...
The Cochrane Database of Systematic Reviews 2026 (1), CD015717 , 2026
2026
ID 47-Caracterização Técnica de Profissionais Atuando em ATS no Âmbito Estadual de Saúde: dados preliminares
BC da Silva, B Marmett, AP Blankenheim, RP de Almeida, RB Carvalho, ...
Epidemiologia e Serviços de Saúde: Revista do Sistema Unico de Saúde do … , 2025
2025
ID 170-Desenvolvimento de uma Tecnologia Educacional sobre Protocolo de Uso
CE da Silva, AGC Arais, AT Stein, RCA Caregnato
Epidemiologia e Serviços de Saúde: Revista do Sistema Unico de Saúde do … , 2025
2025
ID 320-Adaptação Transcultural Brasileira de Declarações Informativas para Comunicar os Resultados de Revisões Sistemáticas de Intervenções Indicadas pelo Sistema GRADE
SM Parahiba, CP de Araújo, GP Dorneles, A Stein, D Pachito, ...
Epidemiologia e Serviços de Saúde: Revista do Sistema Unico de Saúde do … , 2025
2025
Towards early diagnosis of Preeclampsia: Emerging roles of circulating microRNAs
GB Grezzana, AT Stein, MM Markoski
European Journal of Obstetrics & Gynecology and Reproductive Biology, 114822 , 2025
2025
GRADE guidance 39: using GRADE-ADOLOPMENT to adopt, adapt or create contextualized recommendations from source guidelines and evidence syntheses (vol 81, 111494, 2024)
M Klugar, T Lotfi, AJ Darzi, M Reinap, J Klugarova, L Kantorova, J Xia, ...
JOURNAL OF CLINICAL EPIDEMIOLOGY 187 , 2025
2025
Corrigendum to GRADE guidance 39: using GRADE-ADOLOPMENT to adopt, adapt or create contextualized recommendations from source guidelines and evidence syntheses [Journal of …
M Klugar, T Lotfi, AJ Darzi, M Reinap, J Klugarová, L Kantorová, J Xia, ...
Journal of Clinical Epidemiology 187 , 2025
2025
Informative statements to communicate the findings of systematic reviews of interventions: cross-cultural translation of Grading of Recommendations, Assessment, Development and …
S Parahiba, G Dorneles, AT Stein, HA de Oliveira Junior, JC Ferreira, ...
Journal of Clinical Epidemiology 187, 111923 , 2025
2025
Citations: 1
Integrating planetary health considerations into health guidelines: decision-making bodies must show leadership
MI Metzendorf, M Aloosh, L Benton, JB Pérez, M Cumpston, FK de’Donato, ...
BMJ leader, leader-2025-001277 , 2025
2025
Citations: 3
Epidemiological profile of surgical treatment of lung cancer: retrospective analysis, Brazil, 2014-2023
AM Alberti, L Kieling, PBE Silva, FS Azambuja, L Godoy, FP Concolatto, ...
Epidemiologia e Serviços de Saúde 34, e20240427 , 2025
2025
Perfil epidemiológico do tratamento cirúrgico do câncer de pulmão: análise retrospectiva, Brasil, 2014-2023
AM Alberti, L Kieling, PBE Silva, FS Azambuja, L Godoy, FP Concolatto, ...
Epidemiologia e Serviços de Saúde 34, e20240427 , 2025
2025
Roraima on Alert: hospitalizations for conditions sensitive to primary care in children
AT Stein, JSD da Costa, RS Rech
Revista Brasileira de Epidemiologia 28, e250017 , 2025
2025
Extreme climate event in Rio Grande do Sul in May 2024: impacts, adaptation and vulnerabilities
AT Stein, E Barros, TS de Camargo, RAC Santiago
Trends in Health Sciences 67 (1) , 2025
2025
Surge uma nova revista científica brasileira
FM Shansis, AT Stein, D Rovaris, E Puga, J Herbert, L Nunes, RK Celeste
Trends in Health Sciences 67 (1) , 2025
2025
Developing competencies in planetary health: integrating systems thinking and interconnection within nature into medical education
RB Zandavalli, AT Stein, TS Camargo
Revista Brasileira de Educação Médica 49 (3) , 2025
2025
Citations: 1
Desenvolvendo competências em saúde planetária: integrando pensamento sistêmico e interconexão através da natureza na formação médica
RB Zandavalli, AT Stein, TS Camargo
Revista Brasileira de Educação Médica 49 (3) , 2025
2025
Roraima em alerta: internações sensíveis à atenção primária na população infantil
AT Stein, JSD da Costa, RS Rech
Revista Brasileira de Epidemiologia 28, e250017 , 2025
2025
How do machine learning models perform in the detection of depression, anxiety, and stress among undergraduate students? A systematic review
BL Schaab, PÜ Calvetti, S Hoffmann, GB Diaz, M Rech, SC Cazella, ...
Cadernos de Saúde Pública 40, e00029323 , 2024
2024
Citations: 16

MOST CITED SCHOLAR PUBLICATIONS

World Allergy Organization (WAO) diagnosis and rationale for action against cow's milk allergy (DRACMA) guidelines
A Fiocchi, J Brozek, H Schünemann, SL Bahna, A von Berg, K Beyer, ...
World Allergy Organization Journal 3 (4), 57-161 , 2010
2010
Citations: 1299
Avaliação de desempenho do Self-Reporting Questionnaire como instrumento de rastreamento psiquiátrico: um estudo comparativo com o Structured Clinical Interview for DSM-IV-TR
DM Gonçalves, AT Stein, F Kapczinski
Cadernos de saúde pública 24, 380-390 , 2008
2008
Citations: 678
Phlebotonics for venous insufficiency
MJ Martinez‐Zapata, XB Cosp, RM Moreno, E Vargas, D Capellà
Cochrane Database of Systematic Reviews , 2005
2005
Citations: 551
Laparoscopy versus laparotomy for benign ovarian tumour
L Medeiros, DD Rosa, MC Bozzetti, JMG Fachel, S Furness, R Garry, ...
Cochrane Database of Systematic Reviews , 2005
2005
Citations: 395
Prevalence and risk factors of Hepatitis C virus infection in Brazil, 2005 through 2009: a cross-sectional study
LMMB Pereira, CMT Martelli, RC Moreira, E Merchan-Hamman, AT Stein, ...
BMC infectious diseases 13 (1), 60 , 2013
2013
Citations: 298
Protocol for the development of guidance for stakeholder engagement in health and healthcare guideline development and implementation
J Petkovic, A Riddle, EA Akl, J Khabsa, L Lytvyn, P Atwere, P Campbell, ...
Systematic reviews 9 (1), 21 , 2020
2020
Citations: 270
Consistência interna e confiabilidade da versão em português do Instrumento de Avaliação da Atenção Primária (PCATool-Brasil) para serviços de saúde infantil
E Harzheim, B Starfield, L Rajmil, C Álvarez-Dardet, AT Stein
Cadernos de Saúde Pública 22, 1649-1659 , 2006
2006
Citations: 230
Application of GRADE: making evidence-based recommendations about diagnostic tests in clinical practice guidelines
J Hsu, JL Brożek, L Terracciano, J Kreis, E Compalati, AT Stein, A Fiocchi, ...
Implementation science 6 (1), 62 , 2011
2011
Citations: 173
Performance of the Self-Reporting Questionnaire as a psychiatric screening questionnaire: a comparativestudy with Structured Clinical Interview for DSM-IV-TR
DM Gonçalves, AT Stein, F Kapczinski
Cadernos de saude publica 24, 380-390 , 2008
2008
Citations: 173
Accuracy of frozen-section analysis in the diagnosis of ovarian tumors: a systematic quantitative review
LR Medeiros, DD Rosa, MI Edelweiss, AT Stein, MC Bozzetti, ...
International Journal of Gynecological Cancer 15 (2), 192-202 , 2005
2005
Citations: 163
Validação do instrumento de avaliação da atenção primária à saúde: PCATool-Brasil adultos
E Harzheim, MMC Oliveira, MRA Rech, L Hauser, AT Stein, ...
Revista brasileira de medicina de família e comunidade. Rio de Janeiro. Vol … , 2013
2013
Citations: 161
Day hospital versus outpatient care for people with schizophrenia
E Shek, AT Stein, FM Shansis, M Marshall, R Crowther, P Tyrer
Cochrane Database of Systematic Reviews , 2009
2009
Citations: 151
Laparoscopy versus laparotomy for benign ovarian tumor: a systematic review and meta-analysis
LR Medeiros, AT Stein, J Fachel, R Garry, S Furness
International Journal of Gynecological Cancer 18 (3), 387-399 , 2008
2008
Citations: 150
Prevalence of scoliosis among school students in a town in southern Brazil
LS Nery, R Halpern, PC Nery, KP Nehme, A Tetelbom Stein
Sao Paulo medical journal 128 (2), 69-73 , 2010
2010
Citations: 149
The influence of mothers' and fathers' sensitivity in the first year of life on children's cognitive outcomes at 18 and 36 months
LE Malmberg, S Lewis, A West, E Murray, K Sylva, A Stein
Child: care, health and development 42 (1), 1-7 , 2016
2016
Citations: 141
Quality and effectiveness of different approaches to primary care delivery in Brazil
E Harzheim, BB Duncan, AT Stein, CRH Cunha, MR Goncalves, ...
BMC health services research 6 (1), 156 , 2006
2006
Citations: 140
Correlation between drug treatment adherence and lithium treatment attitudes and knowledge by bipolar patients
AR Rosa, M Marco, JMG Fachel, F Kapczinski, AT Stein, HMT Barros
Progress in Neuro-Psychopharmacology and Biological Psychiatry 31 (1), 217-224 , 2007
2007
Citations: 130
Challenges and opportunities in planetary health for primary care providers
E Xie, EF de Barros, A Abelsohn, AT Stein, A Haines
The lancet Planetary health 2 (5), e185-e187 , 2018
2018
Citations: 123
Internal consistency and reliability of Primary Care Assessment Tool (PCATool-Brasil) for child health services
E Harzheim, B Starfield, L Rajmil, C Álvarez-Dardet, AT Stein
Cadernos de Saúde Pública 22, 1649-1659 , 2006
2006
Citations: 122
Adjuvant platinum‐based chemotherapy for early stage cervical cancer
DD Rosa, LRF Medeiros, MI Edelweiss, MC Bozzetti, PR Pohlmann, ...
Cochrane Database of Systematic Reviews , 2009
2009
Citations: 118

Airton Tetelbom Stein

RESEARCH INTERESTS

Scopus Publications

RECENT SCHOLAR PUBLICATIONS

MOST CITED SCHOLAR PUBLICATIONS