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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN CHILE

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Stomach Colorectal Lung Hematological Gynecological Gallbladder Head and Neck Pancreas
New Cancer Cases 40414 8652 4081 3712 3582 3127 2934 2832 2280 1674 1152
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 44.54 73.75 100 33 70 25 0 56.67 33 44 10
Number (#) of patients needing surgery 18001 6381 4081 1225 2507 782 0 1605 752 737 115
Average length of stay (ALOS) for surgery 6.91 8 5 5 9 10 0 6.33 9 6.8 10
# of surgery beds/day 340.72 139.76 55.87 16.77 61.78 21.40 0.00 27.83 18.54 13.71 3.15
CHEMOTHERAPY % of patients requiring chemo 71.72 62.5 100 66 90 50 100 66.67 66 66 50
# of patients requiring chemo 28983.71 5408 4081 2450 3224 1564 2934 1888 1505 1105 576
ALOS for chemo 3.64 3.5 3 3 3 3 6.5 3 3 3.4 5
# of chemo beds/day 288.85 51.82 33.52 20.12 26.48 12.84 52.21 15.51 12.36 10.28 7.89
RADIOTHERAPY % of patients requiring RT 54.98 41.25 100 50 25 90 32.5 40 50 71 50
# of patients 22217.60 3569 4081 1856 896 2814 954 1133 1140 1189 576
# of admitted patients 5554.40 892 1020 464 224 704 238 283 285 297 144
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 76.04 12.21 13.97 6.35 3.06 9.63 3.26 3.88 3.90 4.07 1.97
ONCOLOGY BEDS Maximum # of beds/day 706 204 104 44 92 44 56 48 35 29 14
# of 24 bed oncology wards 30 9 5 2 4 2 3 2 2 2 1
ONCOLOGISTS Hematologist Oncologists 6 0 0 0 0 0 6 0 0 0 0
Surgical Oncologists 38 14 9 3 6 2 0 4 2 2 1
Radiation/Clinical Oncologists 203 44 21 19 18 16 15 15 12 9 6
Urologic Oncologists 18 18 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 6 0 0 0 0 0 0 6 0 0 0
Pathologists 81 18 9 8 8 7 6 6 5 4 3
PHARMACY Onco-Pharmacists 120 36 20 8 16 8 12 8 8 8 4
Onco-Pharmacy Technicians 180 54 30 12 24 12 18 12 12 12 6
PALLIATIVE CARE Palliative Care Specialists 81 18 9 8 8 7 6 6 5 4 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 267 43 49 23 11 34 12 14 14 15 7
Medical Physicists 89 15 17 8 4 12 4 5 5 5 3
Linac Engineers 23 4 5 2 1 3 1 2 2 2 1
Radiation Oncology Nurses 89 15 17 8 4 12 4 5 5 5 3
Linacs / Co 60 Megavolt Units 45 8 9 4 2 6 2 3 3 3 2
# of Brachytherapy units 23 4 5 2 1 3 1 2 2 2 1
# CT simulators 23 4 5 2 1 3 1 2 2 2 1
# of treatment planning computers 23 4 5 2 1 3 1 2 2 2 1
# of dosimetry/QA package 23 4 5 2 1 3 1 2 2 2 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 450 135 75 30 60 30 45 30 30 30 15

RESOURCES NEEDED IN CITIES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2012

Santiago Puente Alto
Population 4912500 573935
New Cancer Cases 11395 1332
SURGERY % of patients needing surgery 44.54 44.54
Number (#) of patients needing surgery 5076 593
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 96.07 11.23
CHEMOTHERAPY % of patients requiring chemo 71.72 71.72
# of patients requiring chemo 8172 955
ALOS for chemo 3.64 3.64
# of chemo beds/day 81.44 9.52
RADIOTHERAPY % of patients requiring RT 54.98 54.98
# of patients 6264 732
# of admitted patients 1566 183
ALOS 5 5
# of RT beds/day 21.44 2.51
ONCOLOGY BEDS Maximum # of beds/day 199 24
# of 24 bed oncology wards 9 1
ONCOLOGISTS Hematologist Oncologists 2 1
Surgical Oncologists 11 2
Radiation/Clinical Oncologists 57 7
Urologic Oncologists 6 1
Gynecologic Oncologist 2 1
Pathologists 23 3
PHARMACY Onco-Pharmacists 36 4
Onco-Pharmacy Technicians 54 6
PALLIATIVE CARE Palliative Care Specialists 23 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 76 9
Medical Physicists 26 3
Linac Engineers 7 1
Radiation Oncology Nurses 26 3
Linacs / Co 60 Megavolt Units 13 2
# of Brachytherapy units 7 1
# CT simulators 7 1
# of treatment planning computers 7 1
# of dosimetry/QA package 7 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 135 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