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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN CHILE

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Stomach Lung Colorectal Hematological Malignancies Gynecological Gallbladder Head & Neck Pancreas
New Cancer Cases 36047 7765 4199 3762 2853 2737 2639 2432 2152 1264 1120
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 44.54 73.75 100.0 33 25 70 0 56.67 33 44 10
Number (#) of patients needing surgery 16055.93 5727 4199 1241 713 1916 0 1378 710 556 112
Average length of stay (ALOS) for surgery 6.91 8 5 5 10 9 0 6.33 9 6.8 10
# of surgery beds/day 303.90 125.43 57.48 16.99 19.53 47.21 0.00 23.90 17.50 10.35 3.07
CHEMOTHERAPY % of patients requiring chemo 71.72 62.5 100 66 50 90 100 66.67 66 66 50
# of patients requiring chemo 25851.71 4853 4199 2483 1427 2463 2639 1621 1420 834 560
ALOS for chemo 3.64 3.5 3 3 3 3 6.5 3 3 3.4 5
# of chemo beds/day 257.63 46.50 34.49 20.39 11.72 20.23 46.96 13.32 11.67 7.77 7.67
RADIOTHERAPY % of patients requiring RT 54.98 41.25 100 50 90 25 32.5 40 50 71 50
# of patients 19816.84 3203 4199 1881 2568 684 858 973 1076 897 560
# of admitted patients 4954.21 801 1050 470 642 171 214 243 269 224 140
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 67.82 10.96 14.37 6.44 8.79 2.34 2.94 3.33 3.68 3.07 1.92
ONCOLOGY BEDS Maximum # of beds/day 630 183 107 44 41 70 50 41 33 22 13
# of 24 bed oncology wards 27 8 5 2 2 3 3 2 2 1 1
ONCOLOGISTS Hematologist Oncologists 6 0 0 0 0 0 6 0 0 0 0
Surgical Oncologists 34 12 9 3 2 4 0 3 2 2 1
Radiation/Clinical Oncologists 181 39 21 19 15 14 14 13 11 7 6
Urologic Oncologists 16 16 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 5 0 0 0 0 0 0 5 0 0 0
Pathologists 73 16 9 8 6 6 6 5 5 3 3
PHARMACY Onco-Pharmacists 108 32 20 8 8 12 12 8 8 4 4
Onco-Pharmacy Technicians 162 48 30 12 12 18 18 12 12 6 6
PALLIATIVE CARE Palliative Care Specialists 73 16 9 8 6 6 6 5 5 3 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 238 39 51 23 31 9 11 12 13 11 7
Medical Physicists 80 13 17 8 11 3 4 4 5 4 3
Linac Engineers 20 4 5 2 3 1 1 1 2 1 1
Radiation Oncology Nurses 80 13 17 8 11 3 4 4 5 4 3
Linacs / Co 60 Megavolt Units 40 7 9 4 6 2 2 2 3 2 2
# of Brachytherapy units 20 4 5 2 3 1 1 1 2 1 1
# CT simulators 20 4 5 2 3 1 1 1 2 1 1
# of treatment planning computers 20 4 5 2 3 1 1 1 2 1 1
# of dosimetry/QA package 20 4 5 2 3 1 1 1 2 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 405 120 75 30 30 45 45 30 30 15 15

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

Region Metropolitana de Santiago Biobio
Population 6683852 1965199
New Cancer Cases 14339 4216
SURGERY % of patients needing surgery 44.54 44.54
# of patients needing surgery 6387 1878
ALOS for surgery 6.91 6.91
# of surgery beds/day 120.89 35.54
CHEMOTHERAPY % of patients requiring chemo 71.72 71.72
# of patients requiring chemo 10283 3024
ALOS for chemo 3.64 3.64
# of chemo beds/day 102.48 30.13
RADIOTHERAPY % of patients requiring RT 54.98 54.98
# of patients 7883 2318
# of admitted patients 1971 579
ALOS 5 5
# of RT beds/day 26.98 7.93
ONCOLOGY BEDS Maximum # of beds/day 251 74
# of 24 bed oncology wards 11 4
ONCOLOGISTS Hematologist Oncologists 3 1
Surgical Oncologists 14 4
Radiation/Clinical Oncologists 72 22
Urologic Oncologists 7 2
Gynecologic Oncologist 2 1
Pathologists 29 9
PHARMACY Onco-Pharmacists 44 16
Onco-Pharmacy Technicians 66 24
PALLIATIVE CARE Palliative Care Specialists 29 9
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 95 28
Medical Physicists 32 10
Linac Engineers 8 3
Radiation Oncology Nurses 32 10
Linacs / Co 60 Megavolt Units 16 5
# of Brachytherapy units 8 3
# CT simulators 8 3
# of treatment planning computers 8 3
# of dosimetry/QA package 8 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 165 60

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
  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 = 15*number of 24 bed oncology wards (1 head nurse + 1 nurse specialist + 13 nurses for each 24 bed oncology ward).
  21. 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