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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN BOLIVIA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Urological Breast Hematological Head and Neck Colorectal Gallbladder Stomach Lung Liver
New Cancer Cases 11286 2475 1326 807 706 699 673 584 581 380 276
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 44.04 56.67 73.75 100 0 44 70 33 33 25 5
Number (#) of patients needing surgery 4971 1403 978 807 0 308 471 193 192 95 14
Average length of stay (ALOS) for surgery 6.91 6.33 8 5 0 6.8 9 9 5 10 10
# of surgery beds/day 94.08 24.32 21.42 11.05 0.00 5.73 11.61 4.75 2.62 2.60 0.38
CHEMOTHERAPY % of patients requiring chemo 68.72 66.67 62.5 100 100 66 90 66 66 50 20
# of patients requiring chemo 7755.40 1650 829 807 706 461 606 385 383 190 55
ALOS for chemo 3.44 3 3.5 3 6.5 3.4 3 3 3 3 3
# of chemo beds/day 73.04 13.55 7.94 6.63 12.56 4.29 4.97 3.17 3.15 1.56 0.45
RADIOTHERAPY % of patients requiring RT 51.98 40 41.25 100 32.5 71 25 50 50 90 20
# of patients 5865.90 990 547 807 229 496 168 292 291 342 55
# of admitted patients 1466.47 248 137 202 57 124 42 73 73 86 14
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 20.07 3.39 1.87 2.76 0.79 1.70 0.58 1.00 0.99 1.17 0.19
ONCOLOGY BEDS Maximum # of beds/day 188 42 32 21 14 12 18 9 7 6 2
# of 24 bed oncology wards 8 2 2 1 1 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 2 0 0 0 0 0 0
Surgical Oncologists 11 3 3 2 0 1 1 1 1 1 1
Radiation/Clinical Oncologists 57 13 7 5 4 4 4 3 3 2 2
Urologic Oncologists 3 0 3 0 0 0 0 0 0 0 0
Gynecologic Oncologist 5 5 0 0 0 0 0 0 0 0 0
Pathologists 23 5 3 2 2 2 2 2 2 1 1
PHARMACY Onco-Pharmacists 32 8 8 4 4 4 4 4 4 4 4
Onco-Pharmacy Technicians 48 12 12 6 6 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 23 5 3 2 2 2 2 2 2 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 71 12 7 10 3 6 3 4 4 5 1
Medical Physicists 24 4 3 4 1 2 1 2 2 2 1
Linac Engineers 6 1 1 1 1 1 1 1 1 1 1
Radiation Oncology Nurses 24 4 3 4 1 2 1 2 2 2 1
Linacs / Co 60 Megavolt Units 12 2 2 2 1 1 1 1 1 1 1
# of Brachytherapy units 6 1 1 1 1 1 1 1 1 1 1
# CT simulators 6 1 1 1 1 1 1 1 1 1 1
# of treatment planning computers 6 1 1 1 1 1 1 1 1 1 1
# of dosimetry/QA package 6 1 1 1 1 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 120 30 30 15 15 15 15 15 15 15 15

RESOURCES NEEDED IN CITIES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE 2012

Santa Cruz El Alto
Population 1442396 846880
New Cancer Cases 1589 933
SURGERY % of patients needing surgery 44.04 44.04
Number (#) of patients needing surgery 700 411
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 13.25 7.78
CHEMOTHERAPY % of patients requiring chemo 68.72 68.72
# of patients requiring chemo 1092 641
ALOS for chemo 3.44 3.44
# of chemo beds/day 10.28 6.04
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 826 485
# of admitted patients 206 121
ALOS 5 5
# of RT beds/day 2.83 1.66
ONCOLOGY BEDS Maximum # of beds/day 27 16
# of 24 bed oncology wards 2 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 1
Radiation/Clinical Oncologists 8 5
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 4 2
PHARMACY Onco-Pharmacists 8 4
Onco-Pharmacy Technicians 12 6
PALLIATIVE CARE Palliative Care Specialists 4 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 10 6
Medical Physicists 4 2
Linac Engineers 1 1
Radiation Oncology Nurses 4 2
Linacs / Co 60 Megavolt Units 2 1
# of Brachytherapy units 1 1
# CT simulators 1 1
# of treatment planning computers 1 1
# of dosimetry/QA package 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 30 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