title: [Four year follow-up of a screening program for prostate cancer in workers].
abstract: OBJECTIVE
  To analyze our four-year follow-up experience (2008-2011) with a prostate cancer screening program offered to employees of a banking company.
  
  
  METHODS
  Data were obtained from the health examinations carried out by the bank's in-house occupational health service (with centers in Barcelona, Madrid and Valencia). PSA (prostate-specific antigen) blood levels were measured and cases with high levels (>4 ng/ml) were followed through diagnosis and treatment, including a telephone survey of confirmed cases. Personal and occupational characteristics of the participants were analyzed as well.
  
  
  RESULTS
  750 workers (99% with administrative and/or commercial jobs) met the inclusion criteria for the screening program. Of these, 110 had elevated PSA levels on at least one occasion. The diagnosis of prostate cancer was confirmed in 21 cases. There were no associations between a diagnosis of cancer and the remaining analyzed variables. Urology and pathology records were retrieved for 76% of the contacted cases. The most frequent histological type was adenocarcinoma (98%), the most common Gleason grade at diagnosis was 6-7% (88%), and the majority of cases were treated surgically (90%).With respect to adverse effects, 48% of cases described erectile dysfunction and 33% reported urinary incontinence.
  
  
  CONCLUSIONS
  In our program the observed prevalence of prostate cancer was above that expected (respectively, 21 confirmed cases vs. 12 expected). The identified cases unanimously expressed their support for the screening program.
authors.affiliation: Medicina del Trabajo, Servicio Prevención Riesgos Laborales, Grupo Banco Popular, Madrid, Spain. lreinoso@bancopopular.es
authors.forename: Luis
authors.initials: L
authors.lastname: Reinoso-Barbero
authors.forename: Ramón
authors.initials: R
authors.lastname: Díaz-Garrido
authors.forename: Montserrat
authors.initials: M
authors.lastname: Piñaga-Solé
authors.forename: Miguel
authors.initials: M
authors.lastname: Fernández-Fernández
authors.forename: Diego
authors.initials: D
authors.lastname: Belanger-Quintana
authors.forename: Félix
authors.initials: F
authors.lastname: Gómez-Gallego
mesh_terms: D016022:Case-Control Studies; D055088:Early Detection of Cancer; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D015397:Program Evaluation; D011471:Prostatic Neoplasms / Q000175:diagnosis*; D011795:Surveys and Questionnaires; D013997:Time Factors