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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ARMENIA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Lung Urological Gynecological Colorectal Stomach Head and Neck Liver Hematological Pancreas
New Cancer Cases 10890 1704 1578 1137 1061 886 691 519 464 443 431
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 41.74 100 25 73.75 56.67 70 33 44 5 0 10
Number (#) of patients needing surgery 4546 1704 395 839 601 620 228 228 23 0 43
Average length of stay (ALOS) for surgery 7.01 5 10 8 6.33 9 5 6.8 10 0 10
# of surgery beds/day 87.28 23.33 10.80 18.37 10.43 15.28 3.12 4.25 0.64 0.00 1.18
CHEMOTHERAPY % of patients requiring chemo 67.12 100 50 62.5 66.67 90 66 66 20 100 50
# of patients requiring chemo 7309.04 1704 789 711 707 797 456 343 93 443 216
ALOS for chemo 3.64 3 3 3.5 3 3 3 3.4 3 6.5 5
# of chemo beds/day 72.84 14.00 6.48 6.81 5.81 6.55 3.75 3.19 0.76 7.88 2.95
RADIOTHERAPY % of patients requiring RT 51.98 100 90 41.25 40 25 50 71 20 32.5 50
# of patients 5660.08 1704 1420 469 424 222 346 368 93 144 216
# of admitted patients 1415.02 426 355 117 106 55 86 92 23 36 54
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 19.37 5.83 4.86 1.61 1.45 0.76 1.18 1.26 0.32 0.49 0.74
ONCOLOGY BEDS Maximum # of beds/day 180 44 23 27 18 23 9 9 2 9 5
# of 24 bed oncology wards 8 2 1 2 1 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 1 0 0 0 0 0 0 0 0 1 0
Surgical Oncologists 10 4 1 2 2 2 1 1 1 0 1
Radiation/Clinical Oncologists 55 9 8 6 6 5 4 3 3 3 3
Urologic Oncologists 3 0 0 3 0 0 0 0 0 0 0
Gynecologic Oncologist 3 0 0 0 3 0 0 0 0 0 0
Pathologists 22 4 4 3 3 2 2 2 1 1 1
PHARMACY Onco-Pharmacists 32 8 4 8 4 4 4 4 4 4 4
Onco-Pharmacy Technicians 48 12 6 12 6 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 22 4 4 3 3 2 2 2 1 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 68 21 18 6 6 3 5 5 2 2 3
Medical Physicists 23 7 6 2 2 1 2 2 1 1 1
Linac Engineers 6 2 2 1 1 1 1 1 1 1 1
Radiation Oncology Nurses 23 7 6 2 2 1 2 2 1 1 1
Linacs / Co 60 Megavolt Units 12 4 3 1 1 1 1 1 1 1 1
# of Brachytherapy units 6 2 2 1 1 1 1 1 1 1 1
# CT simulators 6 2 2 1 1 1 1 1 1 1 1
# of treatment planning computers 6 2 2 1 1 1 1 1 1 1 1
# of dosimetry/QA package 6 2 2 1 1 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 120 30 15 30 15 15 15 15 15 15 15

RESOURCES NEEDED IN CITIES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2014

Yerevan Gyumri
Population 1068300 119900
New Cancer Cases 3744 421
SURGERY % of patients needing surgery 41.74 41.74
Number (#) of patients needing surgery 1563 176
Average length of stay (ALOS) for surgery 7.01 7.01
# of surgery beds/day 30.01 3.37
CHEMOTHERAPY % of patients requiring chemo 67.12 67.12
# of patients requiring chemo 2513 283
ALOS for chemo 3.64 3.64
# of chemo beds/day 25.04 2.82
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 1946 219
# of admitted patients 486 55
ALOS 5 5
# of RT beds/day 6.66 0.75
ONCOLOGY BEDS Maximum # of beds/day 62 7
# of 24 bed oncology wards 3 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 4 1
Radiation/Clinical Oncologists 19 3
Urologic Oncologists 2 1
Gynecologic Oncologist 2 1
Pathologists 8 1
PHARMACY Onco-Pharmacists 12 4
Onco-Pharmacy Technicians 18 6
PALLIATIVE CARE Palliative Care Specialists 8 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 24 3
Medical Physicists 8 1
Linac Engineers 2 1
Radiation Oncology Nurses 8 1
Linacs / Co 60 Megavolt Units 4 1
# 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 45 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