Letters Section Editor: Robert M. Golub,
MD, Senior Editor.
To the Editor: The study by Dr Fox and colleagues1 compared cardiovascular disease (CVD) outcomes for
a Framingham cohort examined in 1950-1966 with one examined in 1970-1995 and
found that CVD incidence/mortality declined 49% for adults with diabetes and
35% for adults without diabetes. In contrast, studies using National Health
and Nutrition Examination Survey (NHANES) data2 and
Rochester Epidemiology Project (REP) resources3 found
that declines in CVD mortality rates between 1970 and 1995 were significantly
less for adults with diabetes compared with adults without diabetes.
Leibson CL, Narayan KMV. Trends in Cardiovascular Complications of Diabetes. JAMA. 2005;293(14):1723-1724. doi:10.1001/jama.293.14.1723-a