“…Neither do the findings in this study of patients in and out of hospital over a period of up to thirty-five years reflect the somewhat optimistic note found either in shorter term community follow up studies (3,4,6,15), or in those studies which are based only on the hospital experience of the patient (7,10,11,13,14,18). This seems to be true whether such hospitalization studies predate or ante-date the introduction of specific therapies.…”