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U.S. National Institutes of Health
Last Updated: 01/08/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN AZERBAIJAN

Cancer All cancers
excl. non-melanoma
skin cancer
Stomach Breast Lung Urological Gynecological Colorectal Hematological Malignancies Head & Neck Esophagus Liver
New Cancer Cases 13123 1428 1155 1111 787 753 730 721 702 555 522
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 42.74 33 100.00 25 73.75 56.67 70 0 44 20 5
Number (#) of patients needing surgery 5609 471 1155 278 580 427 511 0 309 111 26
Average length of stay (ALOS) for surgery 6.91 5 5 10 8 6.33 9 0 6.8 9 10
# of surgery beds/day 106.17 6.45 15.81 7.60 12.71 7.40 12.59 0.00 5.75 2.74 0.71
CHEMOTHERAPY % of patients requiring chemo 71.12 66 100 50 62.5 66.67 90 100 66 90 20
# of patients requiring chemo 9332.68 942 1155 556 492 502 657 721 463 500 104
ALOS for chemo 3.44 3 3 3 3.5 3 3 6.5 3.4 3 3
# of chemo beds/day 87.90 7.74 9.49 4.56 4.71 4.12 5.40 12.83 4.31 4.10 0.86
RADIOTHERAPY % of patients requiring RT 55.98 50 100 90 41.25 40 25 32.5 71 90 20
# of patients 7345.60 714 1155 1000 325 301 183 234 498 500 104
# of admitted patients 1836.40 179 289 250 81 75 46 59 125 125 26
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 25.14 2.44 3.95 3.42 1.11 1.03 0.62 0.80 1.71 1.71 0.36
ONCOLOGY BEDS Maximum # of beds/day 220 17 30 16 19 13 19 14 12 9 2
# of 24 bed oncology wards 10 1 2 1 1 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 0 0 0 2 0 0 0
Surgical Oncologists 12 1 3 1 2 1 2 0 1 1 1
Radiation/Clinical Oncologists 66 8 6 6 4 4 4 4 4 3 3
Urologic Oncologists 2 0 0 0 2 0 0 0 0 0 0
Gynecologic Oncologist 2 0 0 0 0 2 0 0 0 0 0
Pathologists 27 3 3 3 2 2 2 2 2 2 2
PHARMACY Onco-Pharmacists 40 4 8 4 4 4 4 4 4 4 4
Onco-Pharmacy Technicians 60 6 12 6 6 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 27 3 3 3 2 2 2 2 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 89 9 14 12 4 4 3 3 6 6 2
Medical Physicists 30 3 5 4 2 2 1 1 2 2 1
Linac Engineers 8 1 2 1 1 1 1 1 1 1 1
Radiation Oncology Nurses 30 3 5 4 2 2 1 1 2 2 1
Linacs / Co 60 Megavolt Units 15 2 3 2 1 1 1 1 1 1 1
# of Brachytherapy units 8 1 2 1 1 1 1 1 1 1 1
# CT simulators 8 1 2 1 1 1 1 1 1 1 1
# of treatment planning computers 8 1 2 1 1 1 1 1 1 1 1
# of dosimetry/QA package 8 1 2 1 1 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 150 15 30 15 15 15 15 15 15 15 15

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

Baku
Population 1184000
New Cancer Cases 1780
SURGERY % of patients needing surgery 42.74
Number (#) of patients needing surgery 761
Average length of stay (ALOS) for surgery 6.91
# of surgery beds/day 14.40
CHEMOTHERAPY % of patients requiring chemo 71.12
# of patients requiring chemo 1266
ALOS for chemo 3.44
# of chemo beds/day 11.92
RADIOTHERAPY % of patients requiring RT 55.98
# of patients 996
# of admitted patients 249
ALOS 5
# of RT beds/day 3.41
ONCOLOGY BEDS Maximum # of beds/day 30
# of 24 bed oncology wards 2
ONCOLOGISTS Hematologist Oncologists 1
Surgical Oncologists 2
Radiation/Clinical Oncologists 9
Urologic Oncologists 1
Gynecologic Oncologist 1
Pathologists 4
PHARMACY Onco-Pharmacists 8
Onco-Pharmacy Technicians 12
PALLIATIVE CARE Palliative Care Specialists 4
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 12
Medical Physicists 4
Linac Engineers 1
Radiation Oncology Nurses 4
Linacs / Co 60 Megavolt Units 2
# of Brachytherapy units 1
# CT simulators 1
# of treatment planning computers 1
# of dosimetry/QA package 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 30

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 top 10 cancers