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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN BANGLADESH

Cancer All cancers
excl. non-melanoma
skin cancer
Head and Neck Gynecological Breast Esophagus Lung Stomach Hematological Gallbladder Colorectal Urological
New Cancer Cases 122715 24675 15812 14836 13909 10851 6583 5460 4712 4287 3861
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 45.54 44 56.67 100 20 25 33 0 33 70 73.75
Number (#) of patients needing surgery 55886 10857 8960 14836 2782 2713 2172 0 1555 3001 2847
Average length of stay (ALOS) for surgery 6.81 6.8 6.33 5 9 10 5 0 9 9 8
# of surgery beds/day 1042.50 202.13 155.37 203.09 68.55 74.27 29.74 0.00 38.32 73.94 62.37
CHEMOTHERAPY % of patients requiring chemo 75.72 66 66.67 100 90 50 66 100 66 90 62.5
# of patients requiring chemo 92916.12 16286 10542 14836 12518 5426 4345 5460 3110 3858 2413
ALOS for chemo 3.44 3.4 3 3 3 3 3 6.5 3 3 3.5
# of chemo beds/day 875.10 151.60 86.59 121.86 102.82 44.56 35.69 97.17 25.54 31.69 23.12
RADIOTHERAPY % of patients requiring RT 58.98 71 40 100 90 90 50 32.5 50 25 41.25
# of patients 72371.17 17519 6325 14836 12518 9766 3292 1775 2356 1072 1593
# of admitted patients 18092.79 4380 1581 3709 3130 2441 823 444 589 268 398
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 247.68 59.96 21.65 50.77 42.84 33.42 11.26 6.07 8.06 3.67 5.45
ONCOLOGY BEDS Maximum # of beds/day 2166 414 264 376 215 153 77 104 72 110 91
# of 24 bed oncology wards 91 18 11 16 9 7 4 5 3 5 4
ONCOLOGISTS Hematologist Oncologists 11 0 0 0 0 0 0 11 0 0 0
Surgical Oncologists 117 23 19 31 6 6 5 0 4 7 6
Radiation/Clinical Oncologists 614 124 80 75 70 55 33 28 24 22 20
Urologic Oncologists 8 0 0 0 0 0 0 0 0 0 8
Gynecologic Oncologist 32 0 32 0 0 0 0 0 0 0 0
Pathologists 246 50 32 30 28 22 14 11 10 9 8
PHARMACY Onco-Pharmacists 364 72 44 64 36 28 16 20 12 20 16
Onco-Pharmacy Technicians 546 108 66 96 54 42 24 30 18 30 24
PALLIATIVE CARE Palliative Care Specialists 246 50 32 30 28 22 14 11 10 9 8
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 869 211 76 179 151 118 40 22 29 13 20
Medical Physicists 290 71 26 60 51 40 14 8 10 5 7
Linac Engineers 73 18 7 15 13 10 4 2 3 2 2
Radiation Oncology Nurses 290 71 26 60 51 40 14 8 10 5 7
Linacs / Co 60 Megavolt Units 145 36 13 30 26 20 7 4 5 3 4
# of Brachytherapy units 73 18 7 15 13 10 4 2 3 2 2
# CT simulators 73 18 7 15 13 10 4 2 3 2 2
# of treatment planning computers 73 18 7 15 13 10 4 2 3 2 2
# of dosimetry/QA package 73 18 7 15 13 10 4 2 3 2 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1365 270 165 240 135 105 60 75 45 75 60

RESOURCES NEEDED IN MAJOR URBAN AREAS BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2011

Dhaka Chittagong
Population 11086309 3669170
New Cancer Cases 8927 2955
SURGERY % of patients needing surgery 45.54 45.54
Number (#) of patients needing surgery 4066 1346
Average length of stay (ALOS) for surgery 6.81 6.81
# of surgery beds/day 75.84 25.10
CHEMOTHERAPY % of patients requiring chemo 75.72 75.72
# of patients requiring chemo 6759 2237
ALOS for chemo 3.44 3.44
# of chemo beds/day 63.66 21.07
RADIOTHERAPY % of patients requiring RT 58.98 58.98
# of patients 5265 1743
# of admitted patients 1316 436
ALOS 5 5
# of RT beds/day 18.02 5.96
ONCOLOGY BEDS Maximum # of beds/day 158 53
# of 24 bed oncology wards 7 3
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 9 3
Radiation/Clinical Oncologists 45 15
Urologic Oncologists 1 1
Gynecologic Oncologist 3 1
Pathologists 18 6
PHARMACY Onco-Pharmacists 28 12
Onco-Pharmacy Technicians 42 18
PALLIATIVE CARE Palliative Care Specialists 18 6
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 64 21
Medical Physicists 22 7
Linac Engineers 6 2
Radiation Oncology Nurses 22 7
Linacs / Co 60 Megavolt Units 11 4
# of Brachytherapy units 6 2
# CT simulators 6 2
# of treatment planning computers 6 2
# of dosimetry/QA package 6 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 105 45

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