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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ANGOLA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Breast Urological Hematological Head and Neck Liver Colorectal Esophagus Stomach Lung
New Cancer Cases 10305 2406 1328 1184 817 667 512 477 415 351 170
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 42.74 56.67 100 73.75 0 44 5 70 20 33 25
Number (#) of patients needing surgery 4405 1363 1328 873 0 293 26 334 83 116 43
Average length of stay (ALOS) for surgery 6.91 6.33 5 8 0 6.8 10 9 9 5 10
# of surgery beds/day 83.37 23.64 18.18 19.13 0.00 5.46 0.70 8.23 2.05 1.59 1.16
CHEMOTHERAPY % of patients requiring chemo 71.12 66.67 100 62.5 100 66 20 90 90 66 50
# of patients requiring chemo 7328.61 1604 1328 740 817 440 102 429 374 232 85
ALOS for chemo 3.44 3 3 3.5 6.5 3.4 3 3 3 3 3
# of chemo beds/day 69.02 13.18 10.91 7.09 14.54 4.10 0.84 3.53 3.07 1.90 0.70
RADIOTHERAPY % of patients requiring RT 55.98 40 100 41.25 32.5 71 20 25 90 50 90
# of patients 5768.22 962 1328 488 266 474 102 119 374 176 153
# of admitted patients 1442.06 241 332 122 66 118 26 30 93 44 38
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 19.74 3.29 4.54 1.67 0.91 1.62 0.35 0.41 1.28 0.60 0.52
ONCOLOGY BEDS Maximum # of beds/day 173 41 34 28 16 12 2 13 7 5 3
# of 24 bed oncology wards 8 2 2 2 1 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 2 0 0 0 0 0 0
Surgical Oncologists 10 3 3 2 0 1 1 1 1 1 1
Radiation/Clinical Oncologists 52 13 7 6 5 4 3 3 3 2 1
Urologic Oncologists 3 0 0 3 0 0 0 0 0 0 0
Gynecologic Oncologist 5 5 0 0 0 0 0 0 0 0 0
Pathologists 21 5 3 3 2 2 2 1 1 1 1
PHARMACY Onco-Pharmacists 32 8 8 8 4 4 4 4 4 4 4
Onco-Pharmacy Technicians 48 12 12 12 6 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 21 5 3 3 2 2 2 1 1 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 70 12 16 6 4 6 2 2 5 3 2
Medical Physicists 24 4 6 2 2 2 1 1 2 1 1
Linac Engineers 6 1 2 1 1 1 1 1 1 1 1
Radiation Oncology Nurses 24 4 6 2 2 2 1 1 2 1 1
Linacs / Co 60 Megavolt Units 12 2 3 1 1 1 1 1 1 1 1
# of Brachytherapy units 6 1 2 1 1 1 1 1 1 1 1
# CT simulators 6 1 2 1 1 1 1 1 1 1 1
# of treatment planning computers 6 1 2 1 1 1 1 1 1 1 1
# of dosimetry/QA package 6 1 2 1 1 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 120 30 30 30 15 15 15 15 15 15 15

RESOURCES NEEDED IN CITIES & LOCALITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2013

Luanda Huíla
Population 5278800 1920500
New Cancer Cases 2699 982
SURGERY % of patients needing surgery 42.74 42.74
Number (#) of patients needing surgery 1154 420
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 21.83 7.94
CHEMOTHERAPY % of patients requiring chemo 71.12 71.12
# of patients requiring chemo 1919 698
ALOS for chemo 3.44 3.44
# of chemo beds/day 18.08 6.58
RADIOTHERAPY % of patients requiring RT 55.98 55.98
# of patients 1511 550
# of admitted patients 378 137
ALOS 5 5
# of RT beds/day 5.17 1.88
ONCOLOGY BEDS Maximum # of beds/day 46 17
# of 24 bed oncology wards 2 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 3 1
Radiation/Clinical Oncologists 14 5
Urologic Oncologists 1 1
Gynecologic Oncologist 2 1
Pathologists 6 2
PHARMACY Onco-Pharmacists 8 4
Onco-Pharmacy Technicians 12 6
PALLIATIVE CARE Palliative Care Specialists 6 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 19 7
Medical Physicists 7 3
Linac Engineers 2 1
Radiation Oncology Nurses 7 3
Linacs / Co 60 Megavolt Units 4 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