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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN BRAZIL

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Head and Neck Lung Colorectal Gynecological Hematological Stomach Esophagus Brain, nervous system
New Cancer Cases 437592 90588 67316 37755 34280 33949 30673 23369 19690 12907 11737
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 52.24 73.75 100 44 25 70 56.67 0 33 20 100
Number (#) of patients needing surgery 228605 66809 67316 16612 8570 23764 17381 0 6498 2581 11737
Average length of stay (ALOS) for surgery 6.81 8 5 6.8 10 9 6.33 0 5 9 9
# of surgery beds/day 4264.38 1463.30 921.51 309.28 234.63 585.57 301.39 0.00 88.95 63.61 289.21
CHEMOTHERAPY % of patients requiring chemo 79.12 62.5 100 66 50 90 66.67 100 66 90 100
# of patients requiring chemo 346209.66 56618 67316 24918 17140 30554 20450 23369 12995 11616 11737
ALOS for chemo 3.44 3.5 3 3.4 3 3 3 6.5 3 3 3
# of chemo beds/day 3260.67 542.54 552.90 231.96 140.78 250.96 167.96 415.88 106.74 95.41 96.40
RADIOTHERAPY % of patients requiring RT 63.98 41.25 100 71 90 25 40 32.5 50 90 100
# of patients 279949.48 37368 67316 26806 30852 8487 12269 7595 9845 11616 11737
# of admitted patients 69987.37 9342 16829 6702 7713 2122 3067 1899 2461 2904 2934
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 958.07 127.88 230.38 91.74 105.59 29.05 41.99 25.99 33.69 39.75 40.17
ONCOLOGY BEDS Maximum # of beds/day 8484 2134 1705 633 481 866 512 442 230 199 426
# of 24 bed oncology wards 354 89 72 27 21 37 22 19 10 9 18
ONCOLOGISTS Hematologist Oncologists 47 0 0 0 0 0 0 47 0 0 0
Surgical Oncologists 477 140 141 35 18 50 37 0 14 6 25
Radiation/Clinical Oncologists 2188 453 337 189 172 170 154 117 99 65 59
Urologic Oncologists 182 182 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 62 0 0 0 0 0 62 0 0 0 0
Neuro-Oncologists 24 0 0 0 0 0 0 0 0 0 24
Pathologists 876 182 135 76 69 68 62 47 40 26 24
PHARMACY Onco-Pharmacists 1416 356 288 108 84 148 88 76 40 36 72
Onco-Pharmacy Technicians 2124 534 432 162 126 222 132 114 60 54 108
PALLIATIVE CARE Palliative Care Specialists 876 182 135 76 69 68 62 47 40 26 24
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 3360 449 808 322 371 102 148 92 119 140 141
Medical Physicists 1120 150 270 108 124 34 50 31 40 47 47
Linac Engineers 280 38 68 27 31 9 13 8 10 12 12
Radiation Oncology Nurses 1120 150 270 108 124 34 50 31 40 47 47
Linacs / Co 60 Megavolt Units 560 75 135 54 62 17 25 16 20 24 24
# of Brachytherapy units 280 38 68 27 31 9 13 8 10 12 12
# CT simulators 280 38 68 27 31 9 13 8 10 12 12
# of treatment planning computers 280 38 68 27 31 9 13 8 10 12 12
# of dosimetry/QA package 280 38 68 27 31 9 13 8 10 12 12
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 5310 1335 1080 405 315 555 330 285 150 135 270

RESOURCES NEEDED IN CITIES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE 2010

São Paulo Rio de Janeiro
Population 11152344 6320446
New Cancer Cases 24603 13944
SURGERY % of patients needing surgery 52.24 52.24
Number (#) of patients needing surgery 12853 7285
Average length of stay (ALOS) for surgery 6.81 6.81
# of surgery beds/day 239.76 135.89
CHEMOTHERAPY % of patients requiring chemo 79.12 79.12
# of patients requiring chemo 19465 11032
ALOS for chemo 3.44 3.44
# of chemo beds/day 183.33 103.90
RADIOTHERAPY % of patients requiring RT 63.98 63.98
# of patients 15740 8921
# of admitted patients 3935 2230
ALOS 5 5
# of RT beds/day 53.87 30.53
ONCOLOGY BEDS Maximum # of beds/day 477 271
# of 24 bed oncology wards 20 12
ONCOLOGISTS Hematologist Oncologists 3 2
Surgical Oncologists 27 16
Radiation/Clinical Oncologists 124 70
Urologic Oncologists 11 6
Gynecologic Oncologist 4 2
Neuro-Oncologists 2 1
Pathologists 50 28
PHARMACY Onco-Pharmacists 80 48
Onco-Pharmacy Technicians 120 72
PALLIATIVE CARE Palliative Care Specialists 50 28
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 189 108
Medical Physicists 63 36
Linac Engineers 16 9
Radiation Oncology Nurses 63 36
Linacs / Co 60 Megavolt Units 32 18
# of Brachytherapy units 16 9
# CT simulators 16 9
# of treatment planning computers 16 9
# of dosimetry/QA package 16 9
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 300 180

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