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U.S. National Institutes of Health
Last Updated: 01/08/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ALGERIA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Hematological Malignancies Head & Neck Urological Colorectal Lung Gynecological Stomach Gallbladder Brain, nervous system
New Cancer Cases 28736 4271 3512 3030 2850 2619 2554 2211 1430 1008 1000
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 53.54 100.00 0 44 73.75 70 25 56.67 33 33 100
Number (#) of patients needing surgery 15386 4271 0 1333 2102 1833 639 1253 472 333 1000
Average length of stay (ALOS) for surgery 6.81 5 0 6.8 8 9 10 6.33 5 9 9
# of surgery beds/day 287.00 58.47 0.00 24.82 46.04 45.17 17.48 21.72 6.46 8.20 24.64
CHEMOTHERAPY % of patients requiring chemo 76.72 100 100 66 62.5 90 50 66.67 66 66 100
# of patients requiring chemo 22045.40 4271 3512 2000 1781 2357 1277 1474 944 665 1000
ALOS for chemo 3.44 3 6.5 3.4 3.5 3 3 3 3 3 3
# of chemo beds/day 207.63 35.08 62.50 18.62 17.07 19.36 10.49 12.11 7.75 5.46 8.21
RADIOTHERAPY % of patients requiring RT 59.98 100 32.5 71 41.25 25 90 40 50 50 100
# of patients 17234.42 4271 1141 2151 1176 655 2299 884 715 504 1000
# of admitted patients 4308.60 1068 285 538 294 164 575 221 179 126 250
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 58.98 14.62 3.91 7.36 4.02 2.24 7.87 3.03 2.45 1.72 3.42
ONCOLOGY BEDS Maximum # of beds/day 554 109 67 51 68 67 36 37 17 16 37
# of 24 bed oncology wards 24 5 3 3 3 3 2 2 1 1 2
ONCOLOGISTS Hematologist Oncologists 8 0 8 0 0 0 0 0 0 0 0
Surgical Oncologists 33 9 0 3 5 4 2 3 1 1 3
Radiation/Clinical Oncologists 144 22 18 16 15 14 13 12 8 6 5
Urologic Oncologists 6 0 0 0 6 0 0 0 0 0 0
Gynecologic Oncologist 5 0 0 0 0 0 0 5 0 0 0
Neuro-Oncologists 2 0 0 0 0 0 0 0 0 0 2
Pathologists 58 9 8 7 6 6 6 5 3 3 2
PHARMACY Onco-Pharmacists 96 20 12 12 12 12 8 8 4 4 8
Onco-Pharmacy Technicians 144 30 18 18 18 18 12 12 6 6 12
PALLIATIVE CARE Palliative Care Specialists 58 9 8 7 6 6 6 5 3 3 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 207 52 14 26 15 8 28 11 9 7 12
Medical Physicists 69 18 5 9 5 3 10 4 3 3 4
Linac Engineers 18 5 2 3 2 1 3 1 1 1 1
Radiation Oncology Nurses 69 18 5 9 5 3 10 4 3 3 4
Linacs / Co 60 Megavolt Units 35 9 3 5 3 2 5 2 2 2 2
# of Brachytherapy units 18 5 2 3 2 1 3 1 1 1 1
# CT simulators 18 5 2 3 2 1 3 1 1 1 1
# of treatment planning computers 18 5 2 3 2 1 3 1 1 1 1
# of dosimetry/QA package 18 5 2 3 2 1 3 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 360 75 45 45 45 45 30 30 15 15 30

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2008

El Djazaïr Oran
Population 1530000 759645
New Cancer Cases 1280 636
SURGERY % of patients needing surgery 53.54 53.54
Number (#) of patients needing surgery 685 341
Average length of stay (ALOS) for surgery 6.81 6.81
# of surgery beds/day 12.78 6.35
CHEMOTHERAPY % of patients requiring chemo 76.72 76.72
# of patients requiring chemo 982 488
ALOS for chemo 3.44 3.44
# of chemo beds/day 9.25 4.60
RADIOTHERAPY % of patients requiring RT 59.98 59.98
# of patients 768 381
# of admitted patients 192 95
ALOS 5 5
# of RT beds/day 2.63 1.31
ONCOLOGY BEDS Maximum # of beds/day 25 13
# of 24 bed oncology wards 2 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 1
Radiation/Clinical Oncologists 7 4
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 3 2
PHARMACY Onco-Pharmacists 8 4
Onco-Pharmacy Technicians 12 6
PALLIATIVE CARE Palliative Care Specialists 3 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 10 5
Medical Physicists 4 2
Linac Engineers 1 1
Radiation Oncology Nurses 4 2
Linacs / Co 60 Megavolt Units 2 1
# of Brachytherapy units 1 1
# CT simulators 1 1
# of treatment planning computers 1 1
# of dosimetry/QA package 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 30 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 top 10 cancers