The phrase "almost exclusively managed" is correct and usable in written English.
It can be used to describe a situation where something is primarily or mainly overseen or controlled by a specific entity or group, with only a few exceptions.
Example: "The project is almost exclusively managed by the marketing team, with occasional input from the finance department."
Alternatives: "primarily managed" or "mainly overseen".
Flagship Medallion fund closed to investors; almost exclusively manages money for Simons, Renaissance employees.
While this reflects the natural course of acute cough and the fact that it is managed almost exclusively in primary care, the low number of such complications made Europe-wide comparisons on admission to hospital impossible.
Specifically, in Belgium, a considerable number of patients are treated in primary care, while in Portugal patients are managed almost exclusively by urologists.
Ian Thomson, head of investigations at RSPB Scotland, said: "This bird joins the lengthening list of satellite-tagged birds of prey that have disappeared, in highly suspicious circumstances, almost exclusively in areas intensively managed for grouse shooting.
Though routine use of bedding interventions in dust mite sensitive children with asthma is both logical and safe, uncertainty remains about its clinical effectiveness.[ 7] The majority of children with asthma are managed almost exclusively in general practice, where the potential role of barrier bedding is unknown.
(Since Williams hit the ball almost exclusively to right, Lou Boudreau, managing the Cleveland Indians, would move pretty much all his fielders there).
By managing her image almost exclusively through Twitter, Facebook, a reality television show and appearances on Fox News, Ms. Palin has managed to become both ubiquitous and insulated, and to emerge as one of the most formidable Republicans considering a presidential run next year.
We believed that burnout was one of its leading causes, and we focused almost exclusively on helping individuals avoid it by managing their energy, as opposed to their time.
Given that women are almost exclusively responsible for home hygiene, including collecting, managing, and distributing water within the household, a sample of 23 primary caregivers were selected as the primary study participants.
