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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN BELARUS

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Lung Colorectal Breast Gynecological Stomach Head and Neck Hematological Pancreas Melanoma of skin
New Cancer Cases 32422 4927 4012 4004 3781 3202 2961 2886 2111 809 576
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 73.75 25 70 100 56.67 33 44 0 10 100
Number (#) of patients needing surgery 16614 3634 1003 2803 3781 1814 977 1270 0 81 576
Average length of stay (ALOS) for surgery 6.31 8 10 9 5 6.33 5 6.8 0 10 3
# of surgery beds/day 287.17 79.59 27.46 69.06 51.76 31.46 13.38 23.64 0.00 2.21 4.73
CHEMOTHERAPY % of patients requiring chemo 70.12 62.5 50 90 100 66.67 66 66 100 50 50
# of patients requiring chemo 22733.33 3079 2006 3604 3781 2135 1954 1905 2111 405 288
ALOS for chemo 3.64 3.5 3 3 3 3 3 3.4 6.5 5 3
# of chemo beds/day 226.56 29.51 16.48 29.60 31.06 17.53 16.05 17.73 37.57 5.54 2.37
RADIOTHERAPY % of patients requiring RT 54.98 41.25 90 25 100 40 50 71 32.5 50 50
# of patients 17823.99 2032 3611 1001 3781 1281 1481 2049 686 405 288
# of admitted patients 4456.00 508 903 250 945 320 370 512 172 101 72
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 61.00 6.96 12.36 3.43 12.94 4.38 5.07 7.01 2.35 1.38 0.99
ONCOLOGY BEDS Maximum # of beds/day 575 117 57 103 96 54 35 49 40 10 9
# of 24 bed oncology wards 24 5 3 5 4 3 2 3 2 1 1
ONCOLOGISTS Hematologist Oncologists 5 0 0 0 0 0 0 0 5 0 0
Surgical Oncologists 35 8 3 6 8 4 3 3 0 1 2
Radiation/Clinical Oncologists 163 25 21 21 19 17 15 15 11 5 3
Urologic Oncologists 10 10 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 7 0 0 0 0 7 0 0 0 0 0
Pathologists 65 10 9 9 8 7 6 6 5 2 2
PHARMACY Onco-Pharmacists 96 20 12 20 16 12 8 12 8 4 4
Onco-Pharmacy Technicians 144 30 18 30 24 18 12 18 12 6 6
PALLIATIVE CARE Palliative Care Specialists 65 10 9 9 8 7 6 6 5 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 214 25 44 13 46 16 18 25 9 5 4
Medical Physicists 72 9 15 5 16 6 6 9 3 2 2
Linac Engineers 18 3 4 2 4 2 2 3 1 1 1
Radiation Oncology Nurses 72 9 15 5 16 6 6 9 3 2 2
Linacs / Co 60 Megavolt Units 36 5 8 3 8 3 3 5 2 1 1
# of Brachytherapy units 18 3 4 2 4 2 2 3 1 1 1
# CT simulators 18 3 4 2 4 2 2 3 1 1 1
# of treatment planning computers 18 3 4 2 4 2 2 3 1 1 1
# of dosimetry/QA package 18 3 4 2 4 2 2 3 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 360 75 45 75 60 45 30 45 30 15 15

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

Minsk Homel
Population 1921807 512314
New Cancer Cases 6541 1744
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 3352 894
Average length of stay (ALOS) for surgery 6.31 6.31
# of surgery beds/day 57.93 15.45
CHEMOTHERAPY % of patients requiring chemo 70.12 70.12
# of patients requiring chemo 4586 1223
ALOS for chemo 3.64 3.64
# of chemo beds/day 45.71 12.19
RADIOTHERAPY % of patients requiring RT 54.98 54.98
# of patients 3596 959
# of admitted patients 899 240
ALOS 5 5
# of RT beds/day 12.31 3.28
ONCOLOGY BEDS Maximum # of beds/day 116 31
# of 24 bed oncology wards 5 2
ONCOLOGISTS Hematologist Oncologists 2 1
Surgical Oncologists 7 2
Radiation/Clinical Oncologists 33 9
Urologic Oncologists 3 1
Gynecologic Oncologist 2 1
Pathologists 14 4
PHARMACY Onco-Pharmacists 20 8
Onco-Pharmacy Technicians 30 12
PALLIATIVE CARE Palliative Care Specialists 14 4
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 44 12
Medical Physicists 15 4
Linac Engineers 4 1
Radiation Oncology Nurses 15 4
Linacs / Co 60 Megavolt Units 8 2
# of Brachytherapy units 4 1
# CT simulators 4 1
# of treatment planning computers 4 1
# of dosimetry/QA package 4 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 75 30

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