{"id":12683,"date":"2025-01-22T20:04:18","date_gmt":"2025-01-22T20:04:18","guid":{"rendered":"https:\/\/www.umpquahealth.com\/guias-de-practica-clinica\/"},"modified":"2025-07-31T21:04:13","modified_gmt":"2025-07-31T21:04:13","slug":"guias-de-practica-clinica","status":"publish","type":"page","link":"https:\/\/www.umpquahealth.com\/es\/guias-de-practica-clinica\/","title":{"rendered":"Gu\u00edas de pr\u00e1ctica cl\u00ednica"},"content":{"rendered":"\n<div class=\"wp-block-stackable-columns alignfull stk-block-columns stk-block stk-460b17c stk-block-background stk--has-background-overlay\" data-block-id=\"460b17c\"><style>.stk-460b17c {background-color:var(--theme-palette-color-10, #D7E9D4) !important;background-image:url(https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/right-wave-lichen.png) !important;background-position:bottom right !important;background-repeat:no-repeat !important;background-size:470px !important;min-height:424px !important;padding-top:120px !important;padding-bottom:120px !important;margin-bottom:124px !important;}.stk-460b17c:before{background-color:var(--theme-palette-color-10, #D7E9D4) !important;opacity:0 !important;}.stk-460b17c-column{--stk-columns-spacing:0px !important;justify-content:flex-start !important;}@media screen and (max-width:999px){.stk-460b17c {padding-top:100px !important;padding-bottom:100px !important;}}@media screen and (max-width:689px){.stk-460b17c {background-size:60% !important;margin-bottom:60px !important;}}<\/style><div class=\"stk-row stk-inner-blocks has-text-align-left stk-block-content stk-content-align stk-460b17c-column stk--flex\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-d35fecf\" data-v=\"4\" data-block-id=\"d35fecf\"><style>.stk-d35fecf-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;}.stk-d35fecf-inner-blocks{align-items:flex-start !important;}.stk-d35fecf {max-width:900px !important;min-width:auto !important;margin-right:auto !important;margin-left:0px !important;}@media screen and (min-width:690px){.stk-d35fecf {flex:var(--stk-flex-grow, 1) 1 calc(66.666% - var(--stk-column-gap, 0px) * 1 \/ 2 ) !important;}}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-d35fecf-container stk--no-background stk--no-padding\"><div class=\"stk--column-flex stk-block-content stk-inner-blocks stk-d35fecf-inner-blocks\">\n<div class=\"wp-block-stackable-text stk-block-text stk-block stk-16c2735\" id=\"house-cleaning\" data-block-id=\"16c2735\"><style>.stk-16c2735 {margin-bottom:21px !important;}.stk-16c2735 .stk-block-text__text{font-size:15px !important;color:var(--theme-palette-color-5, #005B7B) !important;line-height:1em !important;font-weight:700 !important;text-transform:uppercase !important;font-family:\"Figtree\", Sans-serif !important;letter-spacing:0.75px !important;}@media screen and (max-width:999px){.stk-16c2735 {margin-bottom:10px !important;}.stk-16c2735 .stk-block-text__text{font-size:15px !important;}}<\/style><p class=\"stk-block-text__text has-text-color has-text-align-left\">Proveedores de Umpqua Health<\/p><\/div>\n\n\n\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-8b0ceb4\" id=\"clinical-practice-guidelines\" data-block-id=\"8b0ceb4\"><style>.stk-8b0ceb4 {margin-bottom:32px !important;}.stk-8b0ceb4 .stk-block-heading__text{font-size:64px !important;color:var(--theme-palette-color-5, #005B7B) !important;line-height:71px !important;}@media screen and (max-width:999px){.stk-8b0ceb4 .stk-block-heading__text{font-size:64px !important;}}@media screen and (max-width:689px){.stk-8b0ceb4 .stk-block-heading__text{font-size:44px !important;}}<\/style><h2 class=\"stk-block-heading__text has-text-color has-palette-color-8-color has-text-align-left\">Gu\u00edas de pr\u00e1ctica cl\u00ednica<\/h2><\/div>\n\n\n\n<p>Umpqua Health adopta directrices de pr\u00e1ctica cl\u00ednica basadas en pruebas cl\u00ednicas v\u00e1lidas y fiables y\/o en el consenso de expertos cl\u00ednicos. Tienen en cuenta las necesidades del miembro y se adoptan en consulta con nuestro Panel de Asesoramiento Cl\u00ednico y los proveedores de la red. Tambi\u00e9n se revisan y actualizan peri\u00f3dicamente seg\u00fan proceda.  <\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-81b85b4\" data-v=\"4\" data-block-id=\"81b85b4\"><style>@media screen and (min-width:690px){.stk-81b85b4 {flex:var(--stk-flex-grow, 1) 1 calc(33.334% - var(--stk-column-gap, 0px) * 1 \/ 2 ) !important;}}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-81b85b4-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-81b85b4-inner-blocks\"><\/div><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"wp-block-group is-layout-constrained wp-block-group-is-layout-constrained\" style=\"margin-bottom:100px\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-635b0b1\" id=\"medical\" data-block-id=\"635b0b1\"><h2 class=\"stk-block-heading__text\">M\u00e9dico<\/h2><\/div>\n\n\n\n<div 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class=\"stk-column-wrapper stk-block-column__content stk-container stk-e9fcbfa-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-e9fcbfa-inner-blocks\">\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-8e34635\" id=\"gspb_button-id-gsbp-8e34635\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.umpquahealth.com\/form\/american-diabetes-association-standards-of-care\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Normas asistenciales de la Asociaci\u00f3n Americana de Diabetes<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-1770605\" id=\"gspb_button-id-gsbp-1770605\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.nhlbi.nih.gov\/asthmaguidelines\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Tratamiento del asma: Informe del Grupo de Expertos del Programa Nacional de Educaci\u00f3n y Prevenci\u00f3n del Asma<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-3d62524\" id=\"gspb_button-id-gsbp-3d62524\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.choosingwisely.org\/clinician-lists\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Elegir bien<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-25e3a7e\" id=\"gspb_button-id-gsbp-25e3a7e\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIR.0000000000001063\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Gu\u00eda para el tratamiento de la insuficiencia card\u00edaca<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-5672c4e\" id=\"gspb_button-id-gsbp-5672c4e\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.cdc.gov\/vaccines\/schedules\/hcp\/imz\/child-adolescent.html\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Inmunizaci\u00f3n: Comit\u00e9 Asesor sobre Pr\u00e1cticas de Inmunizaci\u00f3n (ACIP): Ni\u00f1os y adolescentes<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-da2300c\" id=\"gspb_button-id-gsbp-da2300c\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.hcvguidelines.org\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span 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Inmunizaci\u00f3n (ACIP) &#8211; Adultos<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-5fd36a4\" id=\"gspb_button-id-gsbp-5fd36a4\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.nccn.org\/professionals\/physician_gls\/default.aspx\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Oncolog\u00eda: Red Nacional Integral del C\u00e1ncer<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-96231f8\" id=\"behavioral-mental-health-amp-sud\" data-block-id=\"96231f8\"><h2 class=\"stk-block-heading__text\">Conducta, salud mental y SUD<\/h2><\/div>\n\n\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-15777e3\" data-block-id=\"15777e3\"><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-15777e3-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-4b92237\" data-v=\"4\" data-block-id=\"4b92237\"><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-4b92237-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-4b92237-inner-blocks\">\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-6156b02\" id=\"gspb_button-id-gsbp-6156b02\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.umpquahealth.com\/form\/clinical-practice-guideline-for-the-assessment-and-treatment-of-children-and-adolescents-with-anxiety-disorders\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Evaluaci\u00f3n y tratamiento de ni\u00f1os y adolescentes con trastornos de ansiedad<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-6f1e4e6\" id=\"gspb_button-id-gsbp-6f1e4e6\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.umpquahealth.com\/form\/practice-parameters-for-assessment-and-treatment-of-behavioral-health-disorders-in-children-and-adolescents\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Evaluaci\u00f3n y tratamiento de los trastornos de salud conductual en ni\u00f1os y adolescentes<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-21e07f7\" id=\"gspb_button-id-gsbp-21e07f7\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.umpquahealth.com\/form\/parameter-for-the-assessment-and-treatment-of-children-and-adolescents-with-posttraumatic-stress-disorder\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Evaluaci\u00f3n y tratamiento de ni\u00f1os y adolescentes con trastorno de estr\u00e9s postraum\u00e1tico<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-3edcafc\" id=\"gspb_button-id-gsbp-3edcafc\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/store.samhsa.gov\/product\/medication-treatment-alcohol-use-disorder-brief-guide\/sma15-4907\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Medicaci\u00f3n para el tratamiento del trastorno por consumo de alcohol<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-72b5913\" id=\"gspb_button-id-gsbp-72b5913\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.healthquality.va.gov\/guidelines\/MH\/mdd\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Gu\u00eda de pr\u00e1ctica cl\u00ednica VA\/DoD sobre el tratamiento del trastorno depresivo mayor<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-19a7c02\" id=\"gspb_button-id-gsbp-19a7c02\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/wacoguide.org\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">La Gu\u00eda Waco de Psicofarmacolog\u00eda en Atenci\u00f3n Primaria<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-fb75899\" data-v=\"4\" data-block-id=\"fb75899\"><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-fb75899-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-fb75899-inner-blocks\">\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-b6f214a\" id=\"gspb_button-id-gsbp-b6f214a\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.umpquahealth.com\/form\/practice-parameter-for-the-assessment-and-treatment-of-children-and-adolescents-with-depressive-disorders\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Evaluaci\u00f3n y tratamiento de ni\u00f1os y adolescentes con trastornos depresivos<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-778ea7f\" id=\"gspb_button-id-gsbp-778ea7f\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.umpquahealth.com\/form\/parameter-for-the-assessment-and-treatment-of-children-and-adolescents-with-autism-spectrum-disorder\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Evaluaci\u00f3n y tratamiento de ni\u00f1os y adolescentes con trastorno del espectro autista<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-2b17493\" id=\"gspb_button-id-gsbp-2b17493\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.umpquahealth.com\/form\/practice-parameter-for-telepsychiatry-with-children-and-adolescents\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Par\u00e1metros de pr\u00e1ctica para la telepsiquiatr\u00eda con ni\u00f1os y adolescentes<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-15594c4\" id=\"gspb_button-id-gsbp-15594c4\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/journals.lww.com\/journaladdictionmedicine\/fulltext\/2024\/05001\/the_asam_aaap_clinical_practice_guideline_on_the.1.aspx\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Tratamiento del trastorno por consumo de estimulantes<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-fa1dff3\" id=\"gspb_button-id-gsbp-fa1dff3\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.healthquality.va.gov\/guidelines\/MH\/ptsd\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Gu\u00eda de pr\u00e1ctica cl\u00ednica VA\/DoD sobre el tratamiento del TEPT y la reacci\u00f3n de estr\u00e9s agudo<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-6df168c\" id=\"pharmacy\" data-block-id=\"6df168c\"><h2 class=\"stk-block-heading__text\">Farmacia<\/h2><\/div>\n\n\n\n<p>Nuestro equipo de Farmacia ha tomado las \u00faltimas directrices y ha creado herramientas de gesti\u00f3n f\u00e1ciles de usar que se alinean con los medicamentos actuales del <a href=\"\/form\/uha-formulary\/\">Formulario de la UHA<\/a>.<\/p>\n\n\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-e939e4c\" data-block-id=\"e939e4c\"><style>.stk-e939e4c-column{--stk-columns-spacing:0px !important;--stk-column-gap:32px !important;}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-e939e4c-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-3265730\" data-v=\"4\" data-block-id=\"3265730\"><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-3265730-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-3265730-inner-blocks\">\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-5ba0011\" id=\"gspb_button-id-gsbp-5ba0011\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.umpquahealth.com\/form\/provider-guidance-asthma-and-copd\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Asma y EPOC<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-42a65aa\" id=\"gspb_button-id-gsbp-42a65aa\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.umpquahealth.com\/form\/provider-guidance-biosimilar-faqs\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Preguntas frecuentes sobre biosimilares<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-6c2b869\" data-v=\"4\" data-block-id=\"6c2b869\"><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-6c2b869-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-6c2b869-inner-blocks\">\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-9c97760\" id=\"gspb_button-id-gsbp-9c97760\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.umpquahealth.com\/form\/provider-guidance-hepatitis-c\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Hepatitis C<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-2bc9fae\" id=\"gspb_button-id-gsbp-2bc9fae\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button quicklink-button\" href=\"https:\/\/www.umpquahealth.com\/form\/provider-guidance-diabetes\/\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">Diabetes<\/span><\/span><span class=\"gspb-buttonbox-icon\"><img decoding=\"async\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/01\/icon-arrow-right.svg\"\/><\/span><\/span><\/a><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n<\/div>\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-46b7114 stk-block-background\" data-block-id=\"46b7114\"><style>.stk-46b7114 {background-color:#f5f8f9 !important;border-style:solid !important;border-color:var(--theme-palette-color-3, #90C5D0) !important;border-top-width:1px !important;border-right-width:1px !important;border-bottom-width:1px !important;border-left-width:1px !important;padding-top:46px !important;padding-right:84px !important;padding-bottom:46px !important;padding-left:84px !important;margin-bottom:44px !important;z-index:1 !important;top:0 !important;}.stk-46b7114:hover{background-color:#ebf3eb !important;box-shadow:5px 11px 18px 0px #0000001f !important;border-color:#ebf3eb !important;top:-20px !important;}.stk-46b7114:before{background-color:#f5f8f9 !important;}.stk-46b7114:hover:before{background-color:#ebf3eb !important;}@media screen and (max-width:999px){.stk-46b7114 {padding-top:30px !important;padding-right:30px !important;padding-bottom:30px !important;padding-left:30px !important;}}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content stk-content-align stk-46b7114-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-9da276e panel-card\" data-v=\"4\" data-block-id=\"9da276e\"><style>.stk-9da276e-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;}.stk-9da276e {align-self:center !important;max-width:495px !important;min-width:auto !important;}.stk-9da276e-inner-blocks{align-items:flex-start !important;}@media screen and (min-width:690px) and (max-width:999px){.stk-9da276e {flex:var(--stk-flex-grow, 1) 1 calc(100% - var(--stk-column-gap, 0px) * 0 \/ 1 ) !important;}}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-9da276e-container stk--no-background stk--no-padding\"><div class=\"has-text-align-left stk--column-flex stk-block-content stk-inner-blocks stk-9da276e-inner-blocks\">\n<div class=\"wp-block-stackable-icon-label stk-block-icon-label stk-block stk-518188c stk-block-background\" data-block-id=\"518188c\"><style>.stk-518188c .stk-inner-blocks{gap:10px !important;}.stk-518188c {background-color:var(--theme-palette-color-10, #D7E9D4) !important;border-top-left-radius:4px !important;border-top-right-radius:4px !important;border-bottom-right-radius:4px !important;border-bottom-left-radius:4px !important;overflow:hidden !important;padding-top:7px !important;padding-right:14px !important;padding-bottom:7px !important;padding-left:14px !important;margin-bottom:24px !important;}.stk-518188c:before{background-color:var(--theme-palette-color-10, #D7E9D4) !important;}<\/style><div class=\"stk-row stk-inner-blocks stk-block-content\">\n<div class=\"wp-block-stackable-icon stk-block-icon has-text-align-left stk-block stk-e72c9ec\" data-block-id=\"e72c9ec\"><style>.stk-e72c9ec .stk--svg-wrapper .stk--inner-svg svg:last-child{height:20px !important;width:20px !important;}<\/style><span class=\"stk--svg-wrapper\"><div class=\"stk--inner-svg\"><svg style=\"height:0;width:0\"><defs><lineargradient id=\"linear-gradient-e72c9ec\" x1=\"0\" x2=\"100%\" y1=\"0\" y2=\"0\"><stop offset=\"0%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-e-72-c-9-ec-color-1)\"><\/stop><stop offset=\"100%\" style=\"stop-opacity:1;stop-color:var(--linear-gradient-e-72-c-9-ec-color-2)\"><\/stop><\/lineargradient><\/defs><\/svg><svg class=\"ugb-custom-icon\" viewbox=\"0 0 20 21\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" width=\"32\" height=\"32\">\n<path d=\"M10.0001 9.7158C11.841 9.7158 13.3334 8.22342 13.3334 6.38247C13.3334 4.54152 11.841 3.04913 10.0001 3.04913C8.15913 3.04913 6.66675 4.54152 6.66675 6.38247C6.66675 8.22342 8.15913 9.7158 10.0001 9.7158Z\" stroke=\"#30822C\" stroke-width=\"1.2\" stroke-linejoin=\"round\"><\/path>\n<path d=\"M18 18.5491V14.5491C18 13.4446 17.1046 12.5491 16 12.5491H4C2.89543 12.5491 2 13.4446 2 14.5491V18.5491\" stroke=\"#30822C\" stroke-width=\"1.2\"><\/path>\n<circle cx=\"6\" cy=\"16.5491\" r=\"1.4\" stroke=\"#30822C\" stroke-width=\"1.2\"><\/circle>\n<path d=\"M6 15.5491V13.0491\" stroke=\"#30822C\" stroke-width=\"1.2\"><\/path>\n<path d=\"M12.5 14.5491V12.5491\" stroke=\"#30822C\" stroke-width=\"1.2\"><\/path>\n<path d=\"M15 18.5491V17.0491C15 15.6684 13.8807 14.5491 12.5 14.5491V14.5491V14.5491C11.1193 14.5491 10 15.6684 10 17.0491V18.5491\" stroke=\"#30822C\" stroke-width=\"1.2\"><\/path>\n<\/svg><\/div><\/span><\/div>\n\n\n\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-355fd02\" id=\"provider\" data-block-id=\"355fd02\"><style>.stk-355fd02 {align-items:center !important;max-width:1500px !important;min-width:auto !important;margin-right:auto !important;margin-left:0px !important;display:flex !important;overflow:hidden !important;}.stk-355fd02 .stk-block-heading__text{color:var(--theme-palette-color-13, #30822C) !important;line-height:15px !important;}<\/style><h4 class=\"stk-block-heading__text has-text-color has-text-align-left\">PROVEEDOR<\/h4><\/div>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-5bd1449\" id=\"have-a-recommendation\" data-block-id=\"5bd1449\"><style>.stk-5bd1449 {margin-bottom:24px !important;}.stk-5bd1449 .stk-block-heading__text{color:var(--theme-palette-color-13, #30822C) !important;}@media screen and (max-width:999px){.stk-5bd1449 {margin-right:170px !important;margin-bottom:20px !important;}.stk-5bd1449 .stk-block-heading__text{font-size:30px !important;}}@media screen and (max-width:689px){.stk-5bd1449 {margin-right:0px !important;margin-bottom:80px !important;}.stk-5bd1449 .stk-block-heading__text{font-size:25px !important;line-height:1.25em !important;}}<\/style><h2 class=\"stk-block-heading__text has-text-color has-palette-color-8-color has-text-align-left-tablet\">\u00bfTiene alguna recomendaci\u00f3n?<\/h2><\/div>\n\n\n\n<p>Si desea recomendar una directriz de pr\u00e1ctica cl\u00ednica para que la UHA la revise en el pr\u00f3ximo grupo de asesoramiento cl\u00ednico, rellene el siguiente formulario.<\/p>\n\n\n\n<div class=\"gspb_button_wrapper gspb_button-id-gsbp-f4159fe\" id=\"gspb_button-id-gsbp-f4159fe\"><a class=\"wp-block-greenshift-blocks-buttonbox gspb-buttonbox wp-element-button\" href=\"https:\/\/app.smartsheet.com\/b\/form\/b34a40d8d3264738b0c67973df518691\" target=\"_blank\" rel=\"noopener\"><span class=\"gspb-buttonbox-textwrap\"><span class=\"gspb-buttonbox-text\"><span class=\"gspb-buttonbox-title\">FORMULARIO DE RECOMENDACI\u00d3N CPG<\/span><\/span><\/span><\/a><\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-7db5263\" data-v=\"4\" data-block-id=\"7db5263\"><style>.stk-7db5263-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;}.stk-7db5263-inner-blocks{justify-content:center !important;}.stk-7db5263 {z-index:10 !important;}@media screen and (min-width:690px) and (max-width:999px){.stk-7db5263 {flex:var(--stk-flex-grow, 1) 1 calc(100% - var(--stk-column-gap, 0px) * 0 \/ 1 ) !important;}}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-7db5263-container stk--no-background stk--no-padding\"><div class=\"stk--column-flex stk-block-content stk-inner-blocks stk-7db5263-inner-blocks\">\n<div class=\"wp-block-stackable-image stk-block-image has-text-align-right-tablet stk-block stk-c6ded59\" data-block-id=\"c6ded59\"><style>.stk-c6ded59 {max-width:570px !important;min-width:auto !important;margin-bottom:0px !important;right:-84px !important;bottom:-46px !important;position:absolute !important;z-index:1 !important;}.stk-c6ded59 .stk-img-wrapper{width:540px !important;}@media screen and (max-width:999px){.stk-c6ded59 {right:-30px !important;bottom:-30px !important;}.stk-c6ded59 .stk-img-wrapper{width:50% !important;}}<\/style><figure><span class=\"stk-img-wrapper stk-image--shape-stretch\"><img loading=\"lazy\" decoding=\"async\" class=\"stk-img wp-image-1959\" src=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees.png\" width=\"1104\" height=\"652\" srcset=\"https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees.png 1104w, https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees-300x177.png 300w, https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees-1024x605.png 1024w, https:\/\/www.umpquahealth.com\/wp-content\/uploads\/2025\/02\/provider-card-trees-768x454.png 768w\" sizes=\"auto, (max-width: 1104px) 100vw, 1104px\" \/><\/span><\/figure><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div>\n\n<div class=\"wp-block-stackable-columns stk-block-columns stk-block stk-0fbb8a9 stk-block-background\" data-block-id=\"0fbb8a9\"><style>.stk-0fbb8a9 {background-color:#fbfaf6 !important;border-style:solid !important;border-color:#90c5d0 !important;border-top-width:1px !important;border-right-width:1px !important;border-bottom-width:1px !important;border-left-width:1px !important;padding-top:80px !important;padding-right:84px !important;padding-bottom:80px !important;padding-left:84px !important;margin-bottom:84px !important;}.stk-0fbb8a9:before{background-color:#fbfaf6 !important;}.stk-0fbb8a9-column{--stk-column-gap:50px !important;row-gap:50px !important;}@media screen and (max-width:999px){.stk-0fbb8a9 {padding-top:40px !important;padding-right:44px !important;padding-bottom:40px !important;padding-left:44px !important;}}@media screen and (max-width:689px){.stk-0fbb8a9 {padding-top:30px !important;padding-right:30px !important;padding-bottom:30px !important;padding-left:30px !important;margin-bottom:32px !important;}}<\/style><div class=\"stk-row stk-inner-blocks has-text-align-left-tablet stk-block-content stk-content-align stk-0fbb8a9-column\">\n<div class=\"wp-block-stackable-column stk-block-column stk-column stk-block stk-a69cda5\" data-v=\"4\" data-block-id=\"a69cda5\"><style>.stk-a69cda5-container{margin-top:0px !important;margin-right:0px !important;margin-bottom:0px !important;margin-left:0px !important;padding-top:0px !important;padding-right:0px !important;padding-bottom:0px !important;padding-left:0px !important;}.stk-a69cda5 {max-width:978px !important;min-width:auto !important;padding-right:0px !important;padding-left:0px !important;margin-right:auto !important;margin-left:auto !important;}<\/style><div class=\"stk-column-wrapper stk-block-column__content stk-container stk-a69cda5-container stk--no-background stk--no-padding\"><div class=\"stk-block-content stk-inner-blocks stk-a69cda5-inner-blocks\">\n<div class=\"wp-block-stackable-heading stk-block-heading stk-block-heading--v2 stk-block stk-07945f3\" id=\"prior-authorization-guidelines\" data-block-id=\"07945f3\"><style>.stk-07945f3 {max-width:978px !important;min-width:auto !important;margin-bottom:14px !important;}.stk-07945f3 .stk-block-heading__text{color:#005b7b !important;}@media screen and (max-width:999px){.stk-07945f3 {margin-bottom:20px !important;}.stk-07945f3 .stk-block-heading__text{font-size:30px !important;}}@media screen and (max-width:689px){.stk-07945f3 .stk-block-heading__text{font-size:25px !important;}}<\/style><h2 class=\"stk-block-heading__text has-text-color has-palette-color-8-color has-text-align-left-tablet\">Directrices de autorizaci\u00f3n previa<\/h2><\/div>\n\n\n\n<div class=\"wp-block-stackable-text stk-block-text stk-block stk-c155dde\" data-block-id=\"c155dde\"><style>.stk-c155dde {margin-bottom:20px !important;}<\/style><p class=\"stk-block-text__text has-text-align-left has-text-align-left-tablet\">Adem\u00e1s de las Gu\u00edas de Pr\u00e1ctica Cl\u00ednica anteriores, UHA utiliza los siguientes criterios para las decisiones de gesti\u00f3n de la utilizaci\u00f3n (autorizaciones previas):<\/p><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Determinaci\u00f3n Local de Cobertura (LCD) y Determinaci\u00f3n Nacional de Cobertura (NCD) de Medicare<\/strong><\/li>\n\n\n\n<li><strong>Lista priorizada de servicios sanitarios (PLHS)<\/strong>: La Comisi\u00f3n de Revisi\u00f3n de Pruebas Sanitarias de Oreg\u00f3n (HERC) clasifica los pares de afecciones y tratamientos sanitarios por orden de eficacia cl\u00ednica y rentabilidad. Consulte la lista <a href=\"https:\/\/www.oregon.gov\/oha\/HPA\/DSI-HERC\/Pages\/Prioritized-List.aspx\">aqu\u00ed<\/a>. <\/li>\n\n\n\n<li><strong>Notas de orientaci\u00f3n<\/strong>: Utilizando la lista de prioridades para la l\u00ednea de cobertura, basada en los c\u00f3digos CIE-10, CPT y HCPCS, UHA encontrar\u00e1 la nota orientativa asociada para el tratamiento. Estas directrices pueden encontrarse <a href=\"https:\/\/www.oregon.gov\/oha\/HSD\/OHP\/pages\/policies.aspx\">aqu\u00ed<\/a>. <\/li>\n\n\n\n<li><strong>InterQual\u00ae<\/strong>: InterQual\u00ae es una herramienta de apoyo a la toma de decisiones cl\u00ednicas basada en la evidencia que se utiliza para tomar decisiones de utilizaci\u00f3n m\u00e9dica cl\u00ednicamente apropiadas&#8230;. La documentaci\u00f3n de los criterios de InterQual\u00ae se incluye en cada PA utilizada para tomar una determinaci\u00f3n en CIM, a la que pueden acceder los usuarios de CIM.<\/li>\n\n\n\n<li><strong>Las normas administrativas de Oreg\u00f3n (OAR) <\/strong>pueden consultarse <a href=\"https:\/\/secure.sos.state.or.us\/oard\/ruleSearch.action\">aqu\u00ed<\/a>.<\/li>\n\n\n\n<li><strong>Up-to-Date \u00ae Wolters Kluwer<\/strong>: UpToDate es un recurso de apoyo a la toma de decisiones cl\u00ednicas basado en la evidencia en el punto de atenci\u00f3n.<\/li>\n\n\n\n<li><strong>Sociedad Americana de Medicina de las Adicciones (ASAM): <\/strong>Los Criterios de la ASAM son el conjunto de directrices m\u00e1s utilizado y exhaustivo para el ingreso, la permanencia continuada, el traslado o el alta de pacientes con adicci\u00f3n y enfermedades concurrentes.<\/li>\n\n\n\n<li><strong>\u00cdndice de valoraci\u00f3n funcional\u00a9 Institute of Evidence-Based Chiropractic<\/strong><\/li>\n\n\n\n<li><strong>AllMed<\/strong>: Organizaci\u00f3n de Revisi\u00f3n Independiente Contratada que UHA utiliza para la evaluaci\u00f3n de DME de alto coste o para cualquier revisi\u00f3n de Especialidad Experta.<\/li>\n\n\n\n<li><strong>Lista de hospitalizaci\u00f3n CMS<\/strong><\/li>\n<\/ul>\n\n\n\n<p><a href=\"https:\/\/www.umpquahealth.com\/providers\/health-plan-services\/prior-authorizations\/\" data-type=\"page\" data-id=\"1450\">Obtenga m\u00e1s informaci\u00f3n sobre las autorizaciones previas<\/a> en Umpqua Health.<\/p>\n<\/div><\/div><\/div>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Proveedores de Umpqua Health Gu\u00edas de pr\u00e1ctica cl\u00ednica Umpqua Health adopta directrices de pr\u00e1ctica cl\u00ednica basadas en pruebas cl\u00ednicas v\u00e1lidas y fiables y\/o en el consenso de expertos cl\u00ednicos. Tienen en cuenta las necesidades del miembro y se adoptan en consulta con nuestro Panel de Asesoramiento Cl\u00ednico y los proveedores de la red. Tambi\u00e9n se [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_gspb_post_css":"#gspb_button-id-gsbp-078abff,#gspb_button-id-gsbp-07bd8db,#gspb_button-id-gsbp-15594c4,#gspb_button-id-gsbp-1770605,#gspb_button-id-gsbp-19a7c02,#gspb_button-id-gsbp-21e07f7,#gspb_button-id-gsbp-25e3a7e,#gspb_button-id-gsbp-2b17493,#gspb_button-id-gsbp-2bc9fae,#gspb_button-id-gsbp-3edcafc,#gspb_button-id-gsbp-42a65aa,#gspb_button-id-gsbp-485cfb9,#gspb_button-id-gsbp-52dd6e3,#gspb_button-id-gsbp-5672c4e,#gspb_button-id-gsbp-5ba0011,#gspb_button-id-gsbp-5fd36a4,#gspb_button-id-gsbp-6156b02,#gspb_button-id-gsbp-6f1e4e6,#gspb_button-id-gsbp-72b5913,#gspb_button-id-gsbp-778ea7f,#gspb_button-id-gsbp-7adef4d,#gspb_button-id-gsbp-8e00489,#gspb_button-id-gsbp-8e34635,#gspb_button-id-gsbp-971efba,#gspb_button-id-gsbp-9c97760,#gspb_button-id-gsbp-9e6d84a,#gspb_button-id-gsbp-b6f214a,#gspb_button-id-gsbp-da2300c,#gspb_button-id-gsbp-dc3c745,#gspb_button-id-gsbp-f4159fe,#gspb_button-id-gsbp-fa1dff3{display:flex;justify-content:flex-start}#gspb_button-id-gsbp-8e34635 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