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Elizabeth Barrett-Connor, MD; Cynthia A. Stuenkel, MD

JAMA. 1998;279:622-623.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Like the world's population, patients and physicians are living longer, leading to increased interest in how to live well and die later. The article by Fried and colleagues¹ in this issue of THE JOURNAL reports historical and measured attributes as risk factors for death in the Cardiovascular Health Study (CHS), a study conducted in the homes of community-dwelling men and women aged 65 years and older who were followed up for 5 years. The authors make 2 main points: (1) disease markers or quantitative measures are better predictors of death than the medical history; and (2) older people frequently have multiple conditions rather than a single predictor of death.

It is not surprising that objective measures of disease replace the medical history as more accurate predictors of death. As the authors note, good diagnostic tests have fewer false positives and false negatives than . . . [Full Text of this Article]

From the Department of Family and Preventive Medicine, University of California, San Diego, School of Medicine, La Jolla.

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