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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ANGOLA

Cancer All except melanoma Gynecological Breast Urological Liver Hematological Malignancies
New Cancer Cases 9198 1786 1004 918 883 822
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 47.08 56.67 100.0 73.75 5 0
Number (#) of patients needing surgery 4330.73 1012 1004 677 44 0
Average length of stay (ALOS) for surgery 5.87 6.33 5 8 10 0
# of surgery beds/day 69.56 17.55 13.74 14.83 1.21 0.00
CHEMOTHERAPY % of patients requiring chemo 69.83 66.67 100 62.5 20 100
# of patients requiring chemo 6423.27 1191 1004 574 177 822
ALOS for chemo 3.80 3 3 3.5 3 6.5
# of chemo beds/day 66.83 9.78 8.25 5.50 1.45 14.63
RADIOTHERAPY % of patients requiring RT 46.75 40 100 41.25 20 32.5
# of patients 4300.07 714 1004 379 177 267
# of admitted patients 1075.02 179 251 95 44 67
ALOS 5.00 5 5 5 5 5
# of RT beds/day 14.72 2.44 3.44 1.30 0.60 0.91
ONCOLOGY BEDS Maximum # of beds/day 152 30 26 22 4 16
# of 24 bed oncology wards 7 2 2 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 0 2
Surgical Oncologists 10 3 3 2 1 0
Radiation/Clinical Oncologists 46 9 6 5 5 5
Urologic Oncologists 2 0 0 2 0 0
Gynecologic Oncologist 4 4 0 0 0 0
Pathologists 19 4 3 2 2 2
PHARMACY Onco-Pharmacists 28 8 8 4 4 4
Onco-Pharmacy Technicians 42 12 12 6 6 6
PALLIATIVE CARE Palliative Care Specialists 19 4 3 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 52 9 13 5 3 4
Medical Physicists 18 3 5 2 1 2
Linac Engineers 5 1 2 1 1 1
Radiation Oncology Nurses 18 3 5 2 1 2
Linacs / Co 60 Megavolt Units 9 2 3 1 1 1
# of Brachytherapy units 5 1 2 1 1 1
# CT simulators 5 1 2 1 1 1
# of treatment planning computers 5 1 2 1 1 1
# of dosimetry/QA package 5 1 2 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 105 30 30 15 15 15

CANCER INCIDENCE IN MOST POPULOUS CITY BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2012

Luanda (city)
Population 5851200
New Cancer Cases 2987
SURGERY % of patients needing surgery 47.08
# of patients needing surgery 1406
ALOS for surgery 5.87
# of surgery beds/day 22.59
CHEMOTHERAPY % of patients requiring chemo 69.83
# of patients requiring chemo 2086
ALOS for chemo 3.80
# of chemo beds/day 21.70
RADIOTHERAPY % of patients requiring RT 46.75
# of patients 1396
# of admitted patients 349
ALOS 5
# of RT beds/day 4.78
ONCOLOGY BEDS Maximum # of beds/day 50
# of 24 bed oncology wards 3
ONCOLOGISTS Hematologist Oncologists 1
Surgical Oncologists 4
Radiation/Clinical Oncologists 15
Urologic Oncologists 1
Gynecologic Oncologist 2
Pathologists 6
PHARMACY Onco-Pharmacists 12
Onco-Pharmacy Technicians 18
PALLIATIVE CARE Palliative Care Specialists 6
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 17
Medical Physicists 6
Linac Engineers 2
Radiation Oncology Nurses 6
Linacs / Co 60 Megavolt Units 3
# of Brachytherapy units 2
# CT simulators 2
# of treatment planning computers 2
# of dosimetry/QA package 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 45

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