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Lens changes and survival in a population-based study.

M J Podgor, G H Cassel, W B Kannel

    The New England Journal of Medicine
    |December 5, 1985
    PubMed
    Summary
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    Lens changes predict survival in individuals with diabetes. This study found that lens changes were associated with decreased survival in diabetic patients, but not in non-diabetic individuals.

    Area of Science:

    • Ophthalmology
    • Cardiovascular Disease Epidemiology
    • Diabetology

    Background:

    • The Framingham Heart Study, initiated in 1948, investigates cardiovascular disease risk factors.
    • The Framingham Eye Study (1973-1975) examined ocular health in Heart Study participants.
    • Lens changes are a common ocular finding, particularly in aging populations.

    Purpose of the Study:

    • To investigate the relationship between lens changes and survival rates.
    • To determine if lens changes are associated with mortality in a population-based cohort.
    • To explore differential associations between lens changes and survival in diabetic versus non-diabetic individuals.

    Main Methods:

    • Utilized data from nearly 2000 participants from the Framingham Heart and Eye Studies.

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  • Employed proportional-hazards regression analyses to assess survival.
  • Follow-up duration ranged from five to eight years, with 312 deaths recorded.
  • Main Results:

    • An overall association between lens changes and decreased survival was observed (P = 0.01).
    • No significant association was found between lens changes and survival in individuals without diabetes (P = 0.29).
    • A significant association between lens changes and decreased survival was identified in individuals with diabetes (P = 0.001), with a more than twofold increased death rate.

    Conclusions:

    • Lens changes are significant predictors of mortality in diabetic individuals.
    • Lens changes may serve as earlier indicators of mortality risk in diabetes compared to traditional variables like diabetes duration or retinopathy.
    • Ocular health, specifically lens status, warrants consideration in assessing prognosis for diabetic patients.