Kaplan-Meier risks estimates are calculated and compared for two conse
cutive series (N-1 = 840, N-2 = 819) of first-degree relatives of Alzh
eimer disease (AD) patients diagnosed as either ''probable'' or ''auto
psy-confirmed'' AD. The consistency of results increases confidence in
estimates and suggests consistent case ascertainment over 8 years. Li
fetime risk estimates to age 88 for the combined sample (23.4% +/- 3.0
%) do not approach the 50% risk compatible with an autosomal dominant
model of transmission. These results support our previous finding and
suggest that an autosomal dominant gene(s) is not responsible for all
cases of AD. (C) 1994 Wiley-Liss,Inc.