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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN BOSNIA & HERZEGOVINA

Cancer All cancers
excl. non-melanoma
skin cancer
Lung Urological Breast Colorectal Gynecological
New Cancer Cases 9911 1724 1510 1152 1109 928
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 65.08 25 73.75 100 70 56.67
Number (#) of patients needing surgery 6450 431 1114 1152 776 526
Average length of stay (ALOS) for surgery 7.67 10 8 5 9 6.33
# of surgery beds/day 135.40 11.80 24.39 15.77 19.13 9.12
CHEMOTHERAPY % of patients requiring chemo 73.83 50 62.5 100 90 66.67
# of patients requiring chemo 7317.69 862 944 1152 998 619
ALOS for chemo 3.10 3 3.5 3 3 3
# of chemo beds/day 62.11 7.08 9.04 9.46 8.20 5.08
RADIOTHERAPY % of patients requiring RT 59.25 90 41.25 100 25 40
# of patients 5872.27 1552 623 1152 277 371
# of admitted patients 1468.07 388 156 288 69 93
ALOS 5.00 5 5 5 5 5
# of RT beds/day 20.10 5.31 2.13 3.94 0.95 1.27
ONCOLOGY BEDS Maximum # of beds/day 218 25 36 30 29 16
# of 24 bed oncology wards 10 2 2 2 2 1
ONCOLOGISTS Surgical Oncologists 14 1 3 3 2 2
Radiation/Clinical Oncologists 50 9 8 6 6 5
Urologic Oncologists 4 0 4 0 0 0
Gynecologic Oncologist 2 0 0 0 0 2
Pathologists 20 4 4 3 3 2
PHARMACY Onco-Pharmacists 40 8 8 8 8 4
Onco-Pharmacy Technicians 60 12 12 12 12 6
PALLIATIVE CARE Palliative Care Specialists 20 4 4 3 3 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 71 19 8 14 4 5
Medical Physicists 24 7 3 5 2 2
Linac Engineers 6 2 1 2 1 1
Radiation Oncology Nurses 24 7 3 5 2 2
Linacs / Co 60 Megavolt Units 12 4 2 3 1 1
# of Brachytherapy units 6 2 1 2 1 1
# CT simulators 6 2 1 2 1 1
# of treatment planning computers 6 2 1 2 1 1
# of dosimetry/QA package 6 2 1 2 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 150 30 30 30 30 15

RESOURCES NEEDED IN POLITICAL ENTITIES & CANTONS BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2013

Federation of Bosnia and Herzegovina Serb Republic
Population 2371603 1326991
New Cancer Cases 6279 3513
SURGERY % of patients needing surgery 65.08 65.08
Number (#) of patients needing surgery 4087 2286
Average length of stay (ALOS) for surgery 7.67 7.67
# of surgery beds/day 85.78 47.99
CHEMOTHERAPY % of patients requiring chemo 73.83 73.83
# of patients requiring chemo 4636 2594
ALOS for chemo 3.10 3.10
# of chemo beds/day 39.35 22.01
RADIOTHERAPY % of patients requiring RT 59.25 59.25
# of patients 3720 2081
# of admitted patients 930 520
ALOS 5 5
# of RT beds/day 12.73 7.12
ONCOLOGY BEDS Maximum # of beds/day 138 78
# of 24 bed oncology wards 6 4
ONCOLOGISTS Surgical Oncologists 9 5
Radiation/Clinical Oncologists 32 18
Urologic Oncologists 3 2
Gynecologic Oncologist 2 1
Pathologists 13 8
PHARMACY Onco-Pharmacists 24 16
Onco-Pharmacy Technicians 36 24
PALLIATIVE CARE Palliative Care Specialists 13 8
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 45 25
Medical Physicists 15 9
Linac Engineers 4 3
Radiation Oncology Nurses 15 9
Linacs / Co 60 Megavolt Units 8 5
# of Brachytherapy units 4 3
# CT simulators 4 3
# of treatment planning computers 4 3
# of dosimetry/QA package 4 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 90 60

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 5 cancers