I’ve always taken the route of managing my own local Keepass DB & key files. Sure it’s more cumbersome, but it prevents me from having to decide whether or not to trust some third party vendor or not.
I know 100% that I’m in full control and I’ve never put my DB or key file in the cloud. I can sleep sound knowing that whatever password service, or file sharing service, somehow getting compromised, cannot endanger one of my most valuable assets