Airton T Stein

Airton T Stein
Universidade Federal de Ciências da Saúde de Porto Alegre | UFCSPA · Department of Public Health

Phd in epidemiology

About

335
Publications
35,347
Reads
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5,562
Citations
Citations since 2016
129 Research Items
3101 Citations
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20162017201820192020202120220100200300400500
20162017201820192020202120220100200300400500
Introduction
I am an epidemiologist and family physician and interested on the evaluation of clinical guidelines quality. I am also interested in health service research.
Additional affiliations
June 2004 - July 2004
University of Alicante
Position
  • Professor
Description
  • I was coauthor of Erno Harzhein in the Department of Public Health of Alicante University
March 2000 - present
Universidade Luterana do Brasil
Position
  • Professor (Associate)
March 1999 - present
Universidade Federal de Ciências da Saúde de Porto Alegre
Position
  • Professor (Full)
Education
February 2016 - April 2016
University of Oxford
Field of study
  • Cochrane EPOC
March 1993 - March 1998
August 1989 - September 1990
London School of Hygiene and Tropical Medicine
Field of study
  • Community health for developing countries

Publications

Publications (335)
Article
Full-text available
Clinical practice guidelines are statements that include recommendations intended to optimize patient care, are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options, and ensure that the best available clinical knowledge is used to provide effective and quality care. They can reduce inap...
Article
Background & Aims This umbrella review of systematic reviews with meta-analysis (SR-MAs) aimed to evaluate the risk of bias and the certainty of the evidence of SR-MAs on the association between obesity and mortality in patients with SARS-CoV-2. Methods We conducted a comprehensive literature search until April 22, 2022, in several databases and a...
Article
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This is the protocol for a Campbell systematic review. The objectives are as follows: to identify, describe, and summarize existing guidance and methods for multistakeholder engagement throughout the health guideline development process.
Article
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Introduction Depression is a serious and widespread mental health disorder. Although effective treatment does exist, a significant proportion of patients with depression fail to respond to antidepressant treatment trials, a condition named treatment-resistant depression. Efficient approach should be given this condition in order to revert the burde...
Article
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Mandible fractures compromise stomatognathic functions, requiring rehabilitation. Evaluate the effectiveness of photobiomodulation (PBM) associated with oral exercises for rehabilitation of patients with mandible fractures. In this randomized clinical trial, we compared PBM with PBM sham in 14 adults with mandibular fractures who underwent surgical...
Article
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Objective To assess similarities and differences in the recommended sequence of strategies among the most relevant clinical practice guidelines (CPGs) for the treatment of depression in adults with inadequate response to first-line treatment. Data sources We performed a systematic review of the literature spanning January 2011 to August 2020 in Me...
Article
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Nutritional therapy should follow evidence-based practice, thus several societies regarding nutrition and critical care have developed specific Clinical Practice Guidelines (CPG). However, to be regarded as trustworthy the quality of the CPG for critically ill patients and its recommendations need to be high. This systematic review aimed to apprais...
Article
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Objetivo: elaborar e validar um instrumento de avaliação da assistência ao paciente com tuberculose na Atenção Primária em Saúde. Método: as etapas de construção do instrumento avaliativo foram: construção do modelo lógico, revisão bibliográfica, identificação das dimensões e subdimensões avaliativas e elaboração de indicadores. A Técnica Delfos co...
Conference Paper
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Introdu¸cao: Com 40 anos da primeira descri¸c~ao da AIDS, as diretrizes clínicas atuais orientam o início da Terapia Antirretroviral (TARV) o mais breve possível a fim de diminuir a morbimortalidade e para conter a epidemia do HIV. Para ampliar o n�umero de indivíduos tratados, o cuidado continuado das Pessoas Vivendo com HIV (PVH) sem imunossupres...
Conference Paper
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Introdu¸c~ao: Com 40 anos do início da epidemia, al�em de supress~ao de Carga Viral (CV), �e esperado melhora da braz j infect dis. 2022;26(S1):101736 47 qualidade de vida das Pessoas que Vivem com HIV/Aids (PVHA), especialmente nas popula¸c~oes-chave. O HIV/Aids consiste em um dos principais problemas de sa�ude encontrados na popula¸c~ao em Situa¸...
Conference Paper
Introdução: Porto Alegre está há 12 anos no ranking nacional dos maus indicadores de morbimortalidade do HIV. Assim, explorar as características dos grupos prioritários é fundamental para o controle da epidemia, como as pessoas em Situação de Rua(SR). A vigilância epidemiológica nas pessoas em SR é possível apenas no SICLOM. Entretanto, o serviço d...
Conference Paper
Contextualização: O modelo de atenção às pessoas vivendo com HIV/aids (PVHA) concentra-se em Serviços de Atenção Especializada (SAE). Entretanto, durante a história da evolução do tratamento antirretroviral surgiram diferentes níveis de complexidade dos casos no cuidado à saúde, incluindo a Atenção Primária à Saúde (APS) que pode manejar clinicamen...
Article
Introdução Com 40 anos do início da epidemia, além de supressão de Carga Viral (CV), é esperado melhora da qualidade de vida das Pessoas que Vivem com HIV/Aids (PVHA), especialmente nas populações-chave. O HIV/Aids consiste em um dos principais problemas de saúde encontrados na população em Situação de Rua(SR), grupo que historicamente enfrenta dif...
Article
Introdução Com 40 anos da primeira descrição da AIDS, as diretrizes clínicas atuais orientam o início da Terapia Antirretroviral (TARV) o mais breve possível a fim de diminuir a morbimortalidade e para conter a epidemia do HIV. Para ampliar o número de indivíduos tratados, o cuidado continuado das Pessoas Vivendo com HIV (PVH) sem imunossupressão p...
Article
Full-text available
COVID-19 is a disease whose knowledge is still under construction, high transmissibility, with no consensual treatment available to everyone. Therefore, the identification of patients at higher risk of evolving to the critical form of the disease is fundamental. The study aimed to determine risk factors associated with the severity of COVID-19 in a...
Article
Full-text available
Introdução O emprego de Testes Rápidos (TR) para Hepatites Virais (HV) é uma estratégia oportuna para iniciar a cascata da linha de cuidados, especialmente em populações-chave, como as Pessoas em Situação de Rua (PSR). Porto Alegre-RS está no topo do ranking nacional da morbimortalidade das HV, entretanto a vigilância epidemiológica pode ser um des...
Article
Full-text available
Introdução Desigualdades de acesso ao tratamento do HIV foram aprofundadas pela pandemia; entretanto, os benefícios de continuar a fornecer serviços de HIV superam o risco de mortes adicionais relacionadas à COVID-19. Na última década, Porto Alegre-RS está no topo do ranking do HIV, sendo necessário reconhecer as fragilidades da Linha de Cuidado(LC...
Book
Full-text available
Livro oficial do Ministério da Saúde brasileiro de métodos para elaboração, availação, adaptação e implementação de diretrizes clínicas (clinical guidelines) no Brasil. Livro metodológico de referência para a Conitec. Autoria em ordem alfabética. Detalhes adicionais de contribuição dos autores no anexo X . Esta obra é disponibilizada nos termos da...
Article
Durante a trajetória na prática clínica e na pesquisa, o médico, professor e pesquisador Airton Tetelbom Stein compreendeu que para ser um bom médico é necessário um embasamento científico aprofundado. Em entrevista à Reciis, Stein discute sobre o conceito de Saúde Baseada em Evidências (SBE) na sua relevância de integrar as melhores evidências com...
Conference Paper
Introduction: Acute venous thromboembolism (VTE) is associated with high morbidity and mortality. There is a large volume of internationally published CPGs for VTE that causes a dilemma for healthcare in Saudi Arabia. Hence, the aim of this article is to describe the systematic adaptation of VTE international guidelines in the context of Saudi heal...
Article
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Background Evidence on the effect of pay-for-performance (P4P) schemes on provider performance is mixed in low-income and middle income countries. Brazil introduced its first national-level P4P scheme in 2011 (PMAQ-Brazilian National Programme for Improving Primary Care Access and Quality). PMAQ is likely one of the largest P4P schemes in the world...
Article
Full-text available
Background Evidence on the effect of pay-for-performance (P4P) schemes on provider performance is mixed in low-income and middle-income countries. Brazil introduced its first national-level P4P scheme in 2011 (PMAQ-Brazilian National Programme for Improving Primary Care Access and Quality). PMAQ is likely one of the largest P4P schemes in the worl...
Article
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Hepatitis A virus (HAV) infection has been considered one of the leading causes of acute hepatitis. The aim of the present study was to estimate the prevalence of HAV among children and adolescents in a population-based study in the capitals of the States of the North, Southeast and South of Brazil and identify predictive factors for the infection....
Article
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BACKGROUND: Despite widespread usage of central blood pressure assessment its predictive value among elderly people remains unclear. OBJECTIVE: To ascertain the capacity of central hemodynamic indices for predicting future all-cause and cardiovascular hard outcomes among elderly people. DESIGN AND SETTING: Systematic review and meta-analysis deve...
Article
Full-text available
Background: Implementation is a key step in ensuring that high-quality clinical practice guideline (CPG) recommendations are followed and have a positive impact. This step must be planned during CPG development. This study aims to inform professionals tasked with developing and implementing CPGs regarding implementation strategies and tools reporte...
Article
Full-text available
Objective: To describe the methodological characteristics and good research practices of COVID-19 interventional studies developed in Brazil in the first months of the pandemic. Methods: We reviewed the bulletin of the National Research Ethics Committee-Coronavirus Special Edition (Comissão Nacional de Ética em Pesquisa-CONEP-COVID) (May 28, 2020)...
Article
Background: Previous studies have reported the safety of laparoscopic radical hysterectomy for treatment of early cervical cancer, as option to laparotomy. This study aims to compare overall survival between laparoscopic versus abdominal radical hysterectomy for early cervical cancer. Methods: A single-center randomized controlled trial enrolled...
Conference Paper
Introdução: Na meta 90-90-90, os segundos e terceiros passos são desafiadores, pois envolvem vínculo com o tratamento e a supressão viral. As abordagens para convencimento de tratamentos são múltiplas, não existindo um único caminho. Em Porto Alegre, uma cidade no ranking brasileiro com os piores indicadores do vírus da imunodeficiência humana nos...
Conference Paper
Introdução: Durante a pandemia de COVID-19, o acesso a serviços de saúde/sociais ficaram restritos, o que pode afetar a adesão à terapia antirretroviral nas pessoas em situação de rua de Porto Alegre (RS). Nesse sentido, o Consultório na Rua gerenciou o cuidado da saúde/social das pessoas que vivem com vírus da imunodeficiência humana/aids. Objetiv...
Conference Paper
Introdução: A pandemia da COVID-19 impulsionou diversas pesquisas, entretanto, após um ano, os estudos ainda são escassos em populações vulneráveis, como as que incluem as comunidades-chave das pessoas que vivem com vírus da imunodeficiência humana/aids e em situação de rua. Nesse contexto, o serviço de Consultório na Rua em Porto Alegre (RS) quest...
Conference Paper
Introdução: O enfrentamento ao vírus da imunodeficiência humana está para completar 40 anos e calcula-se que haja cerca de 36,7 milhões de pessoas vivendo com o vírus da imunodeficiência humana/aids no mundo. No Brasil, estima-se que existam atualmente 718 mil casos diagnosticados. Muitos avanços já foram conquistados, como o direito à terapia anti...
Article
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Abstract In Brazil, governmental and non-governmental organisations develop practice guidelines (PGs) in order to optimise patient care. Although important improvements have been made over the past years, many of these documents still lack transparency and methodological rigour. In order to conduct a critical analysis and define future steps in PG...
Article
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Introduction Mucositis occurs in more than 40% of chemotherapy-treated patients, significantly reducing their quality of life and increasing interventions for adequate analgesia and nutrition, as well as length of hospital stay. Many different interventions have been evaluated to reduce oral mucositis. Good results have recently been achieved with...
Book
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A primeira publicação da América Latina e Caribe que se propõe a reunir diferentes conhecimentos científicos sobre o processo de elaboração de Sínteses de Evidências para Políticas em um único documento. Acredita-se que, dessa forma, o Decit/SCTIE/MS contribuirá para padronização, qualificação e avaliação de Sínteses de Evidências para Políticas de...
Article
Introduction: Moving toward evidence-based care protocols is key to reduce the burden of cardiovascular diseases. Hypothesis: We assessed the hypothesis that a multifaceted intervention could improve the adherence to evidence-based therapies for coronary artery disease patients. Methods: The BRIDGE Cardiovascular Prevention study was a cluster rand...
Article
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Background see what's new Sonia Maria Uriona Tuma $ Chronic venous insu!iciency (CVI) is a condition in which veins are unable to transport blood unidirectionally towards the heart. CVI usually occurs in the lower limbs. It might result in considerable discomfort, with symptoms such as pain, itchiness and tiredness in the legs. Patients with CVI ma...
Article
Full-text available
Background: Chronic venous insufficiency (CVI) is a condition in which veins are unable to transport blood unidirectionally towards the heart. CVI usually occurs in the lower limbs. It might result in considerable discomfort, with symptoms such as pain, itchiness and tiredness in the legs. Patients with CVI may also experience swelling and ulcers....
Article
Full-text available
Identificar a frequência de sintomas depressivos em pacientes caracterizados como não urgentes atendidos no pronto socorro do Hospital Regional de Guaraí – TO - Brasil. Estudo descritivo, com amostra probabilística aleatória, considerando uma frequência de consultas não urgentes de 80% com um erro aceitável de 5%, o tamanho da amostra estimado foi...
Preprint
Full-text available
Objective: To describe the methodological characteristics and good research practices of COVID-19 interventional studies developed in Brazil in the first months of the pandemic. Methods: We reviewed the bulletin of the National Research Ethics Committee - Coronavirus Special Edition (Comissão Nacional de Ética em Pesquisa - CONEP-COVID) (May 28, 2...
Article
Full-text available
Introduction Specialized psychosocial care centers (Centros de Atenção Psicossocial [CAPS]) are mental health services focused on social rehabilitation and reducing hospitalization of patients with severe and persistent mental illness. Collective multiprofessional activities (CMPA) are the main therapeutic tools used at CAPS. This study aimed to de...
Article
Full-text available
Introduction Coronavirus disease 19 (COVID-19) is potentially the greatest global public health crisis of this century. This disease emerged as an outbreak of pneumonia of unknown cause in Wuhan, the capital city of the Hubei province in China, in December 2019. Otolaryngologists, head and neck surgeons and dentists are at an increased risk of occu...
Preprint
As pesquisas clínicas relacionadas a COVID-19 estão acontecendo em todo o mundo, inclusive no Brasil. Os registros públicos de protocolos de pesquisa promovem transparência e atendem às regulamentações. Objetivo: Descrever os protocolos de pesquisa em desenvolvimento no Brasil para investigações de alternativas terapêuticas para a COVID-19, e avali...
Article
Full-text available
Background: Stakeholder engagement has become widely accepted as a necessary component of guideline development and implementation. While frameworks for developing guidelines express the need for those potentially affected by guideline recommendations to be involved in their development, there is a lack of consensus on how this should be done in p...
Article
Full-text available
This paper investigates factors associated with motherhood among adolescents from 14 to 16 years of age in Porto Alegre, Brazil. This is a case-control study with 431 adolescent mothers (cases) and 862 adolescents who had never given birth (controls). D. ata were obtained through home visits by an interviewer-applied questionnaire. Sociodemographic...
Article
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No Brasil, a Atenção Primária em Saúde (APS) é porta de entrada no serviço de saúde do Sistema Único de Saúde (SUS). A rede é constituída por unidades de saúde onde profissionais preparados para atuar na prevenção e manutenção da saúde da comunidade buscam atender às necessidades locais de forma equitativa, eficaz e precisa. O objetivo deste estudo...
Chapter
Digital health technological initiatives have been sprouting during the last years in most countries. The implementation of such technologies is thought to have the potential to transform the organization of healthcare while promoting a healthy workforce and ensuring access to affordable quality care for all. Nevertheless, evidence on the effective...
Conference Paper
Full-text available
Introduction: As a result of increased globalization and changing migration trends, it is expected that a significant portion of People Living with HIV/AIDS (PLWHA) will change their place of residence over time. In order to provide better health care, monitor the HIV epidemic and plan urban public health care and policies, there is a growing need...
Article
Full-text available
Background and aim Guidelines recommend use of ligation and vasoactive drugs as first-line therapy and as grade A evidence for acute variceal bleeding (AVB), although Western studies about this issue are lacking. Methods We performed a systematic review and meta-analysis of randomized controlled trials (RCT) to evaluate the efficacy of endoscopic t...
Article
Full-text available
Review effectiveness of low-level laser therapy (LLLT) in the curative treatment of oral mucositis (OM) in patients receiving cancer therapy. A systematic review with meta-analysis was performed using Medline, Embase, and Cochrane Library databases according to PRISMA guidelines, to identify randomized controlled trials (RCT) on OM in patients duri...
Conference Paper
Full-text available
Abstract Background According to UNAIDS, an estimated 100,000 cases of new HIV infections were reported in Latin America in 2017. At the time, Antiretroviral Therapy (ART) was already being offered for these new cases, and was largely prescribed in the Primary Health Care (PHC) system. The objective of this study is to evaluate the epidemiological...
Conference Paper
Full-text available
Abstract Introdution The 90-90-90 target predicts that by 2030 HIV infection will no longer be a global epidemic. In this context, the Protocol for the Treatment of HIV patients in Primary Care provides that all HIV patients receive the offer of antiretroviral treatment. This challenge requires a process of health education. Academic Detailing (DA)...
Conference Paper
Full-text available
Background Sex Workers (SW) present greater vulnerability to sexually transmitted infections. There is a need to stimulate an active screening in the vulnerable population in the área covered by a Primary Health Care (PHC) team. The main goal of this study is to present an alternative healthcare assistance approach, applied to a specific area where...
Conference Paper
Full-text available
Background The UNAIDS 90–90–90 programme aims to increase healthcare access for asymptomatic HIV patients, ensuring their well-being and disrupting the transmission network of the virus. The city of Porto Alegre, is one of the cities with the worst HIV indicators in Latin America. One of the strategies currently being implemented to address this is...
Conference Paper
Full-text available
Background Academic Detailing (AD) is a scientific dissemination strategy that is characterized by the one-by-one orientation to improve the quality of care. It has been used frequently in some developed countries about HIV management. HIV is a public health concern in all spheres of health care and its guidelines need to be constantly updated. The...
Conference Paper
Full-text available
Background The UNAIDS 90–90–90 programme aims to increase healthcare access for asymptomatic HIV patients, ensuring their well-being and disrupting the transmission network of the virus. The city of Porto Alegre, is one of the cities with the worst HIV indicators in Latin America. One of the strategies currently being implemented to address this is...
Conference Paper
Background Academic Detailing (AD) is a scientific dissemination strategy that is characterized by the one-by-one orientation to improve the quality of care. It has been used frequently in some developed countries about HIV management. HIV is a public health concern in all spheres of health care and its guidelines need to be constantly updated. The...
Conference Paper
Background According to UNAIDS, an estimated 100,000 cases of new HIV infections were reported in Latin America in 2017. At the time, Antiretroviral Therapy (ART) was already being offered for these new cases, and was largely prescribed in the Primary Health Care (PHC) system. The objective of this study is to evaluate the epidemiological profile o...
Conference Paper
Background Sex Workers (SW) present greater vulnerability to sexually transmitted infections. There is a need to stimulate an active screening in the vulnerable population in the área covered by a Primary Health Care (PHC) team. The main goal of this study is to present an alternative healthcare assistance approach, applied to a specific area where...
Conference Paper
Background Social engagement used as a tool for providing access to information and testing for Sexually Transmitted Infections (STIs) during events can be a promising strategy for reaching different population groups in public settings. The use of Rapid Tests (RT) for syphilis offers an unique opportunity to facilitate care in response to the syph...
Article
Full-text available
Objective: The objective of the study was to clarify how the Grading of Recommendations Assessment, Development and Evaluation (GRADE) concept of certainty of evidence applies to certainty ratings of test accuracy. Study design and setting: After initial brainstorming with GRADE Working Group members, we iteratively refined and clarified the app...