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U.S. National Institutes of Health
Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ALGERIA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Hematological Head and Neck Colorectal Urological Lung Gynecological Brain, nervous system Stomach Gallbladder
New Cancer Cases 37908 8177 4198 3836 3380 3206 2707 2334 1734 1717 796
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 53.54 100 0 44 70 73.75 25 56.67 100 33 33
Number (#) of patients needing surgery 20297 8177 0 1688 2366 2364 677 1323 1734 567 263
Average length of stay (ALOS) for surgery 6.81 5 0 6.8 9 8 10 6.33 9 5 9
# of surgery beds/day 378.61 111.94 0.00 31.42 58.30 51.79 18.53 22.93 42.73 7.76 6.47
CHEMOTHERAPY % of patients requiring chemo 76.72 100 100 66 90 62.5 50 66.67 100 66 66
# of patients requiring chemo 29081.88 8177 4198 2532 3042 2004 1354 1556 1734 1133 525
ALOS for chemo 3.44 3 6.5 3.4 3 3.5 3 3 3 3 3
# of chemo beds/day 273.90 67.16 74.71 23.57 24.99 19.20 11.12 12.78 14.24 9.31 4.32
RADIOTHERAPY % of patients requiring RT 59.98 100 32.5 71 25 41.25 90 40 100 50 50
# of patients 22735.32 8177 1364 2724 845 1322 2436 934 1734 859 398
# of admitted patients 5683.83 2044 341 681 211 331 609 233 434 215 100
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 77.81 27.98 4.67 9.32 2.89 4.53 8.34 3.20 5.93 2.94 1.36
ONCOLOGY BEDS Maximum # of beds/day 731 208 80 65 87 76 38 39 63 21 13
# of 24 bed oncology wards 31 9 4 3 4 4 2 2 3 1 1
ONCOLOGISTS Hematologist Oncologists 9 0 9 0 0 0 0 0 0 0 0
Surgical Oncologists 43 18 0 4 5 5 2 3 4 2 1
Radiation/Clinical Oncologists 190 41 21 20 17 17 14 12 9 9 4
Urologic Oncologists 7 0 0 0 0 7 0 0 0 0 0
Gynecologic Oncologist 5 0 0 0 0 0 0 5 0 0 0
Neuro-Oncologists 4 0 0 0 0 0 0 0 4 0 0
Pathologists 76 17 9 8 7 7 6 5 4 4 2
PHARMACY Onco-Pharmacists 124 36 16 12 16 16 8 8 12 4 4
Onco-Pharmacy Technicians 186 54 24 18 24 24 12 12 18 6 6
PALLIATIVE CARE Palliative Care Specialists 76 17 9 8 7 7 6 5 4 4 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 273 99 17 33 11 16 30 12 21 11 5
Medical Physicists 91 33 6 11 4 6 10 4 7 4 2
Linac Engineers 23 9 2 3 1 2 3 1 2 1 1
Radiation Oncology Nurses 91 33 6 11 4 6 10 4 7 4 2
Linacs / Co 60 Megavolt Units 46 17 3 6 2 3 5 2 4 2 1
# of Brachytherapy units 23 9 2 3 1 2 3 1 2 1 1
# CT simulators 23 9 2 3 1 2 3 1 2 1 1
# of treatment planning computers 23 9 2 3 1 2 3 1 2 1 1
# of dosimetry/QA package 23 9 2 3 1 2 3 1 2 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 465 135 60 45 60 60 30 30 45 15 15

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2008

El Djazaïr Oran
Population 2364230 803329
New Cancer Cases 2457 835
SURGERY % of patients needing surgery 53.54 53.54
Number (#) of patients needing surgery 1316 447
Average length of stay (ALOS) for surgery 6.81 6.81
# of surgery beds/day 24.54 8.34
CHEMOTHERAPY % of patients requiring chemo 76.72 76.72
# of patients requiring chemo 1885 641
ALOS for chemo 3.44 3.44
# of chemo beds/day 17.75 6.03
RADIOTHERAPY % of patients requiring RT 59.98 59.98
# of patients 1474 501
# of admitted patients 368 125
ALOS 5 5
# of RT beds/day 5.04 1.71
ONCOLOGY BEDS Maximum # of beds/day 48 17
# of 24 bed oncology wards 2 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 3 1
Radiation/Clinical Oncologists 13 5
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 5 2
PHARMACY Onco-Pharmacists 8 4
Onco-Pharmacy Technicians 12 6
PALLIATIVE CARE Palliative Care Specialists 5 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 18 7
Medical Physicists 6 3
Linac Engineers 2 1
Radiation Oncology Nurses 6 3
Linacs / Co 60 Megavolt Units 3 2
# of Brachytherapy units 2 1
# CT simulators 2 1
# of treatment planning computers 2 1
# of dosimetry/QA package 2 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, chemotherapy or radiation therapy
  3. Number of 24 bed oncology wards = (Oncology beds per day)/24
  4. Number of Hematologist Oncologists = (2/1000)*hematology 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 Gynecologic Oncologists = (2/1000)*GYN cancer cases
  8. Number of Urologic Oncologists = (2/1000)* urological cancer cases
  9. Number of Neurologic Oncologists = (2/1000)* brain cancer cases
  10. Number of Pathologists = (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 = 1 head nurse + 1 nurse specialist + 13 nurses for each 24 bed oncology ward.
  21. The table below lists the estimated number 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 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 GYN cancer 20 5 80 3 80 5
Corpus uteri GYN cancer 80 5 20 3 20 5
Ovary GYN cancer 70 9 100 3 20 5
Gynecological cancers 56.67 6.33 66.67 3 40 5
Larynx Head and neck 50 9 50 3 75 5
Lip, oral cavity Head and neck 40 9 80 3 80 5
Nasopharynx Head and neck 0 0 100 3 100 5
Other pharynx Head and neck 40 9 80 3 80 5
Thyroid Head and 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
Urological 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