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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ARMENIA

Cancer All cancers
excl. non-melanoma
skin cancer
Lung Breast Urological Gynecological Colorectal
New Cancer Cases 8590 1526 1065 906 732 710
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 65.08 25 100.00 73.75 56.67 70
Number (#) of patients needing surgery 5591 382 1065 668 415 497
Average length of stay (ALOS) for surgery 7.67 10 5 8 6.33 9
# of surgery beds/day 117.35 10.44 14.58 14.63 7.19 12.25
CHEMOTHERAPY % of patients requiring chemo 73.83 50 100 62.5 66.67 90
# of patients requiring chemo 6342.34 763 1065 566 488 639
ALOS for chemo 3.10 3 3 3.5 3 3
# of chemo beds/day 53.83 6.27 8.75 5.43 4.01 5.25
RADIOTHERAPY % of patients requiring RT 59.25 90 100 41.25 40 25
# of patients 5089.58 1373 1065 374 293 178
# of admitted patients 1272.39 343 266 93 73 44
ALOS 5.00 5 5 5 5 5
# of RT beds/day 17.42 4.70 3.64 1.28 1.00 0.61
ONCOLOGY BEDS Maximum # of beds/day 189 22 27 22 13 19
# of 24 bed oncology wards 8 1 2 1 1 1
ONCOLOGISTS Surgical Oncologists 12 1 3 2 1 2
Radiation/Clinical Oncologists 43 8 6 5 4 4
Urologic Oncologists 2 0 0 2 0 0
Gynecologic Oncologist 2 0 0 0 2 0
Pathologists 18 4 3 2 2 2
PHARMACY Onco-Pharmacists 32 4 8 4 4 4
Onco-Pharmacy Technicians 48 6 12 6 6 6
PALLIATIVE CARE Palliative Care Specialists 18 4 3 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 62 17 13 5 4 3
Medical Physicists 21 6 5 2 2 1
Linac Engineers 6 2 2 1 1 1
Radiation Oncology Nurses 21 6 5 2 2 1
Linacs / Co 60 Megavolt Units 11 3 3 1 1 1
# of Brachytherapy units 6 2 2 1 1 1
# CT simulators 6 2 2 1 1 1
# of treatment planning computers 6 2 2 1 1 1
# of dosimetry/QA package 6 2 2 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 120 15 30 15 15 15

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2011

Yerevan
Population 1121900
New Cancer Cases 3132
SURGERY % of patients needing surgery 65.08
Number (#) of patients needing surgery 2038
Average length of stay (ALOS) for surgery 7.67
# of surgery beds/day 42.79
CHEMOTHERAPY % of patients requiring chemo 73.83
# of patients requiring chemo 2312
ALOS for chemo 3.10
# of chemo beds/day 19.63
RADIOTHERAPY % of patients requiring RT 59.25
# of patients 1856
# of admitted patients 464
ALOS 5
# of RT beds/day 6.35
ONCOLOGY BEDS Maximum # of beds/day 69
# of 24 bed oncology wards 3
ONCOLOGISTS Surgical Oncologists 5
Radiation/Clinical Oncologists 16
Urologic Oncologists 1
Gynecologic Oncologist 1
Pathologists 7
PHARMACY Onco-Pharmacists 12
Onco-Pharmacy Technicians 18
PALLIATIVE CARE Palliative Care Specialists 7
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 23
Medical Physicists 8
Linac Engineers 2
Radiation Oncology Nurses 8
Linacs / Co 60 Megavolt Units 4
# 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