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These resources are not intended to serve as a prescribed standard of medical care. Standards of care are determined on the basis of all clinical data available for an individual patient and are subject to change as scientific knowledge and technology advance and patterns of care evolve. These resources have been developed to inform practice and should be considered guidance only. Following advice on this site will not ensure a successful outcome in every patient, nor should it be construed as including all proper methods of care or excluding other acceptable methods of care aimed at the same results. The ultimate judgment regarding a particular clinical procedure or treatment plan must be made by the clinician, based on clinician experience, expertise and in light of the clinical presentation of the patient, the available evidence, available diagnostic and treatment options, and the patient’s values, expectations, and preferences.

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