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U.S. National Institutes of Health
Last Updated: 01/15/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ALBANIA

Cancer All cancers
excl. non-melanoma
skin cancer
Lung Urological Breast Stomach Head & Neck
New Cancer Cases 7732 1198 1155 895 845 656
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 55.15 25 73.75 100 33 44
Number (#) of patients needing surgery 4264 300 852 895 279 289
Average length of stay (ALOS) for surgery 6.96 10 8 5 5 6.8
# of surgery beds/day 81.26 8.20 18.66 12.25 3.82 5.37
CHEMOTHERAPY % of patients requiring chemo 68.90 50 62.5 100 66 66
# of patients requiring chemo 5327.35 599 722 895 558 433
ALOS for chemo 3.18 3 3.5 3 3 3.4
# of chemo beds/day 46.38 4.92 6.92 7.35 4.58 4.03
RADIOTHERAPY % of patients requiring RT 70.45 90 41.25 100 50 71
# of patients 5447.19 1078 476 895 423 466
# of admitted patients 1361.80 270 119 224 106 116
ALOS 5.00 5 5 5 5 5
# of RT beds/day 18.64 3.69 1.63 3.06 1.45 1.59
ONCOLOGY BEDS Maximum # of beds/day 147 17 28 23 10 11
# of 24 bed oncology wards 7 1 2 1 1 1
ONCOLOGISTS Surgical Oncologists 9 1 2 2 1 1
Radiation/Clinical Oncologists 39 6 6 5 5 4
Urologic Oncologists 3 0 3 0 0 0
Pathologists 16 3 3 2 2 2
PHARMACY Onco-Pharmacists 28 4 8 4 4 4
Onco-Pharmacy Technicians 42 6 12 6 6 6
PALLIATIVE CARE Palliative Care Specialists 16 3 3 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 66 13 6 11 6 6
Medical Physicists 22 5 2 4 2 2
Linac Engineers 6 2 1 1 1 1
Radiation Oncology Nurses 22 5 2 4 2 2
Linacs / Co 60 Megavolt Units 11 3 1 2 1 1
# of Brachytherapy units 6 2 1 1 1 1
# CT simulators 6 2 1 1 1 1
# of treatment planning computers 6 2 1 1 1 1
# of dosimetry/QA package 6 2 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 105 15 30 15 15 15

CANCER INCIDENCE IN MOST POPULOUS CITY BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2011

Tirana
Population 421286
New Cancer Cases 1037
SURGERY % of patients needing surgery 55.15
Number (#) of patients needing surgery 572
Average length of stay (ALOS) for surgery 6.96
# of surgery beds/day 10.90
CHEMOTHERAPY % of patients requiring chemo 68.90
# of patients requiring chemo 714
ALOS for chemo 3.18
# of chemo beds/day 6.22
RADIOTHERAPY % of patients requiring RT 70.45
# of patients 731
# of admitted patients 183
ALOS 5
# of RT beds/day 2.50
ONCOLOGY BEDS Maximum # of beds/day 20
# of 24 bed oncology wards 1
ONCOLOGISTS Surgical Oncologists 2
Radiation/Clinical Oncologists 6
Urologic Oncologists 1
Pathologists 3
PHARMACY Onco-Pharmacists 4
Onco-Pharmacy Technicians 6
PALLIATIVE CARE Palliative Care Specialists 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 9
Medical Physicists 3
Linac Engineers 1
Radiation Oncology Nurses 3
Linacs / Co 60 Megavolt Units 2
# of Brachytherapy units 1
# CT simulators 1
# of treatment planning computers 1
# of dosimetry/QA package 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 15

Key to Calculations

  1. Number of beds/day = number who require surgery*ALOS/365.25
  2. Oncology beds per day = beds for surgery + beds for chemotherapy + beds for radiation therapy
  3. Number of 24 bed oncology wards = (Oncology beds per day)/24
  4. Number of Hematologist oncologists = (2/1000)*hematologic malignancy cases
  5. Number of Radiation Oncologists = (5/1000)*total number of cancer cases
  6. Number of Surgical oncologists = (number of surgeries)/480. This is based on 2 surgeries per day, 5 days a week for 48 weeks)
  7. Number of GYN-oncologists = (2/1000)*GYN cancer cases
  8. Number of Urologic Oncologists = (2/1000)* urological cancer cases
  9. Number of Neuro-Oncologists = (2/1000)* brain, nervous system cancer cases
  10. Number of pathologist = (2/1000)*total number of cancer cases
  11. Number of Pharmacists = 4* number of 24 bed oncology wards
  12. Number of Pharmacy Technicians = 6 * number of 24 bed oncology wards
  13. Number of Palliative Care Specialists = (2/1000)*total number of cancer cases
  14. Number of Medical Physicists = (4/1000) * number of patients requiring radiation therapy
  15. Number of Radiation Technicians = (12/1000) * number of patients requiring radiation therapy
  16. Number of Linac Engineers = (1/1000) * number of patients requiring radiation therapy
  17. Number of Radiation Therapy nurses = (4/1000) * number of patients requiring radiation therapy
  18. Number of Linacs = (2/1000)  * number of patients requiring radiation therapy
  19. Number of Brachy therapy units/CT simulators/treatment planning computers/ dosimetry/QA package = (1/1000)  * number of patients requiring radiation therapy
  20. Number of nurses = 15*number of 24 bed oncology wards (1 head nurse + 1 nurse specialist + 13 nurses for each 24 bed oncology ward).
  21. The table below lists the estimated percentage of patients requiring surgery, chemotherapy and radiation therapy for the different types of cancers as well as the average length of stay (ALOS) in hospital (in days) for each of these treatments.
Type of cancer % of patients requiring Surgery ALOS % of patients requiring Chemotherapy ALOS % of patients requiring Radiation therapy ALOS
Cervix uteri Gynecological 20 5 80 3 80 5
Corpus uteri Gynecological 80 5 20 3 20 5
Ovary Gynecological 70 9 100 3 20 5
Gynecological cancers 56.67 6.33 66.67 3 40 5
Larynx Head & Neck 50 9 50 3 75 5
Lip, oral cavity Head & Neck 40 9 80 3 80 5
Nasopharynx Head & Neck 0 0 100 3 100 5
Other pharynx Head & Neck 40 9 80 3 80 5
Thyroid Head & Neck 90 7 20 5 20 5
Head and Neck cancers 44 6.8 66 3.4 71 5
Hodgkin lymphoma Hematological Malignancy 0 0 100 5 40 5
Leukaemia Hematological Malignancy 0 0 100 7 20 5
Multiple myeloma Hematological Malignancy 0 0 100 7 20 5
Non-Hodgkin lymphoma Hematological Malignancy 0 0 100 7 50 5
Hematological Malignancies 0 0 100 6.5 32.5 5
Bladder Urological 100 9 50 3 50 5
Kidney Urological 75 9 50 3 20 5
Prostate Urological 20 9 50 3 65 5
Testis Urological 100 5 100 5 30 5
Urologica cancers 73.75 8 62.5 3.5 41.25 5
Brain, nervous system 100 9 100 3 100 5
Breast 100 5 100 3 100 5
Colorectal 70 9 90 3 25 5
Gallbladder 33 9 66 3 50 5
Kaposi sarcoma 0 0 70 3 50 5
Liver 5 10 20 3 20 5
Lung 25 10 50 3 90 5
Melanoma of skin 100 3 50 3 50 5
Esophagus 20 9 90 3 90 5
Pancreas 10 10 50 5 50 5
Stomach 33 5 66 3 50 5
All cancers excl. non-melanoma skin cancer average of 5 most frequently occurring cancers