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This statement, developed through thorough consideration of medical literature and clinical experience, represents the consensus of a Canadian panel of multidisciplinary experts. The recommendations provide a practical approach to care for specialists and allied health professionals, aiming for optimal patient and family care. These guidelines may change as scientific knowledge, technology, and practice patterns evolve. They are not a substitute for individual physician judgment in managing clinical care in consultation with patients, considering all individual circumstances, diagnostic and treatment options, and available resources. Adherence to these recommendations will not guarantee successful outcomes in every case.