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From the Geriatric Research Programme and the Departments of Psychology, Extended Care, and Pathology, Sunnybrook Medical Centre, University of Toronto, Toronto, Ontario, Canada.
Neuropathologic confirmation is required to validate the NINCDS-ADRDA Work Group criteria for the clinical diagnosis of Alzheimer's disease (AD). Neuropathologic inclusion and exclusion criteria for AD, however, are not uniform. The purpose of this investigation was to examine the confirmation rate for the Work Group criteria against differing neuropathologic criteria for AD. The sample consisted of 57 cases, 22 of which had received a clinical diagnosis of AD. Nine neuropathologic criteria for AD were applied in a blind fashion to each of the 57 cases. Our results indicated that, depending on the neuropathologic criteria applied, the clinicopathologic agreement ranged from 64% to 86%. These findings demonstrate the need for universally accepted neuropathologic and clinical criteria for AD.
Address correspondence and reprint requests to Dr. Tierney, Geriatric Research Programme, Sunnybrook Medical Centre, University of Toronto, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N 3M5.
Supported by the Ontario Ministry of Health, the Gerontology Research Council of Ontario, the Canadian Geriatric Research Society, and the Sunnybrook Medical Centre Research Fund.
Received March 25, 1987. Accepted for publication in final form June 10, 1987.
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