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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN BELARUS

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Lung Colorectal Stomach Breast Gynecological Head & Neck Hematological Malignancies Pancreas Melanoma of skin
New Cancer Cases 31188 4116 3911 3831 3527 3387 3077 2941 1871 788 551
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 73.75 25 70 33 100.0 56.67 44 0 10 100
Number (#) of patients needing surgery 15981.25 3036 978 2682 1164 3387 1744 1294 0 79 551
Average length of stay (ALOS) for surgery 6.31 8 10 9 5 5 6.33 6.8 0 10 3
# of surgery beds/day 276.24 66.49 26.77 66.08 15.93 46.37 30.23 24.09 0.00 2.16 4.53
CHEMOTHERAPY % of patients requiring chemo 70.12 62.5 50 90 66 100 66.67 66 100 50 50
# of patients requiring chemo 21867.99 2573 1956 3448 2328 3387 2051 1941 1871 394 276
ALOS for chemo 3.64 3.5 3 3 3 3 3 3.4 6.5 5 3
# of chemo beds/day 217.93 24.65 16.06 28.32 19.12 27.82 16.85 18.07 33.30 5.39 2.26
RADIOTHERAPY % of patients requiring RT 54.98 41.25 90 25 50 100 40 71 32.5 50 50
# of patients 17145.60 1698 3520 958 1764 3387 1231 2088 608 394 276
# of admitted patients 4286.40 424 880 239 441 847 308 522 152 99 69
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 58.68 5.81 12.05 3.28 6.04 11.59 4.21 7.15 2.08 1.35 0.94
ONCOLOGY BEDS Maximum # of beds/day 553 97 55 98 42 86 52 50 36 9 8
# of 24 bed oncology wards 24 5 3 5 2 4 3 3 2 1 1
ONCOLOGISTS Hematologist Oncologists 4 0 0 0 0 0 0 0 4 0 0
Surgical Oncologists 34 7 3 6 3 8 4 3 0 1 2
Radiation/Clinical Oncologists 156 21 20 20 18 17 16 15 10 4 3
Urologic Oncologists 9 9 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 7 0 0 0 0 0 7 0 0 0 0
Pathologists 63 9 8 8 8 7 7 6 4 2 2
PHARMACY Onco-Pharmacists 96 20 12 20 8 16 12 12 8 4 4
Onco-Pharmacy Technicians 144 30 18 30 12 24 18 18 12 6 6
PALLIATIVE CARE Palliative Care Specialists 63 9 8 8 8 7 7 6 4 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 206 21 43 12 22 41 15 26 8 5 4
Medical Physicists 69 7 15 4 8 14 5 9 3 2 2
Linac Engineers 18 2 4 1 2 4 2 3 1 1 1
Radiation Oncology Nurses 69 7 15 4 8 14 5 9 3 2 2
Linacs / Co 60 Megavolt Units 35 4 8 2 4 7 3 5 2 1 1
# of Brachytherapy units 18 2 4 1 2 4 2 3 1 1 1
# CT simulators 18 2 4 1 2 4 2 3 1 1 1
# of treatment planning computers 18 2 4 1 2 4 2 3 1 1 1
# of dosimetry/QA package 18 2 4 1 2 4 2 3 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 360 75 45 75 30 60 45 45 30 15 15

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2012

Minsk Homel
Population 1885067 498075
New Cancer Cases 6075 1606
SURGERY % of patients needing surgery 51.24 51.24
# of patients needing surgery 3113 823
ALOS for surgery 6.31 6.31
# of surgery beds/day 53.81 14.22
CHEMOTHERAPY % of patients requiring chemo 70.12 70.12
# of patients requiring chemo 4260 1126
ALOS for chemo 3.64 3.64
# of chemo beds/day 42.45 11.22
RADIOTHERAPY % of patients requiring RT 54.98 54.98
# of patients 3340 883
# of admitted patients 835 221
ALOS 5 5
# of RT beds/day 11.43 3.02
ONCOLOGY BEDS Maximum # of beds/day 108 29
# of 24 bed oncology wards 5 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 7 2
Radiation/Clinical Oncologists 31 9
Urologic Oncologists 2 1
Gynecologic Oncologist 2 1
Pathologists 13 4
PHARMACY Onco-Pharmacists 20 8
Onco-Pharmacy Technicians 30 12
PALLIATIVE CARE Palliative Care Specialists 13 4
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 41 11
Medical Physicists 14 4
Linac Engineers 4 1
Radiation Oncology Nurses 14 4
Linacs / Co 60 Megavolt Units 7 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 + 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
  14. Number of Radiation Technicians = (12/1000) * number of patients requiring radiation therapy
  15. Number of Linac Engineers = (1/1000) * number of patients requiring radiation therapy
  16. Number of Radiation Therapy nurses = (4/1000) * number of patients requiring radiation therapy
  17. Number of Linacs = (2/1000) * number of patients requiring radiation therapy
  18. Number of Brachy therapy units/CT simulators/treatment planning computers/ dosimetry/QA package = (1/1000) * number of patients requiring radiation therapy
  19. Number of nurses = 15*number of 24 bed oncology wards (1 head nurse + 1 nurse specialist + 13 nurses for each 24 bed oncology ward).
  20. 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