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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN CHINA

Cancer All cancers
excl. non-melanoma
skin cancer
Lung Stomach Liver Colorectal Esophagus Breast Urological Gynecological Head and Neck Hematological
New Cancer Cases 3065438 652842 404996 394770 253427 223306 187213 171324 169454 127510 121373
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 42.74 25 33 5 70 20 100 73.75 56.67 44 0
Number (#) of patients needing surgery 1310219 163211 133649 19739 177399 44661 187213 126351 96024 56104 0
Average length of stay (ALOS) for surgery 6.91 10 5 10 9 9 5 8 6.33 6.8 0
# of surgery beds/day 24799.41 4468.46 1829.55 540.41 4371.23 1100.48 2562.81 2767.45 1665.03 1044.52 0.00
CHEMOTHERAPY % of patients requiring chemo 71.12 50 66 20 90 90 100 62.5 66.67 66 100
# of patients requiring chemo 2180047.54 326421 267297 78954 228084 200975 187213 107078 112975 84157 121373
ALOS for chemo 3.44 3 3 3 3 3 3 3.5 3 3.4 6.5
# of chemo beds/day 20532.14 2681.08 2195.46 648.49 1873.38 1650.72 1537.68 1026.07 927.93 783.39 2159.96
RADIOTHERAPY % of patients requiring RT 55.98 90 50 20 25 90 100 41.25 40 71 32.5
# of patients 1715878.92 587558 202498 78954 63357 200975 187213 70671 67782 90532 39446
# of admitted patients 428969.73 146889 50625 19739 15839 50244 46803 17668 16945 22633 9862
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 5872.28 2010.81 693.01 270.21 216.83 687.80 640.70 241.86 231.97 309.83 135.00
ONCOLOGY BEDS Maximum # of beds/day 51204 9161 4719 1460 6462 3440 4742 4036 2825 2138 2295
# of 24 bed oncology wards 2134 382 197 61 270 144 198 169 118 90 96
ONCOLOGISTS Hematologist Oncologists 243 0 0 0 0 0 0 0 0 0 243
Surgical Oncologists 2730 341 279 42 370 94 391 264 201 117 0
Radiation/Clinical Oncologists 15328 3265 2025 1974 1268 1117 937 857 848 638 607
Urologic Oncologists 343 0 0 0 0 0 0 343 0 0 0
Gynecologic Oncologist 339 0 0 0 0 0 0 0 339 0 0
Pathologists 6131 1306 810 790 507 447 375 343 339 256 243
PHARMACY Onco-Pharmacists 8536 1528 788 244 1080 576 792 676 472 360 384
Onco-Pharmacy Technicians 12804 2292 1182 366 1620 864 1188 1014 708 540 576
PALLIATIVE CARE Palliative Care Specialists 6131 1306 810 790 507 447 375 343 339 256 243
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 20591 7051 2430 948 761 2412 2247 849 814 1087 474
Medical Physicists 6864 2351 810 316 254 804 749 283 272 363 158
Linac Engineers 1716 588 203 79 64 201 188 71 68 91 40
Radiation Oncology Nurses 6864 2351 810 316 254 804 749 283 272 363 158
Linacs / Co 60 Megavolt Units 3432 1176 405 158 127 402 375 142 136 182 79
# of Brachytherapy units 1716 588 203 79 64 201 188 71 68 91 40
# CT simulators 1716 588 203 79 64 201 188 71 68 91 40
# of treatment planning computers 1716 588 203 79 64 201 188 71 68 91 40
# of dosimetry/QA package 1716 588 203 79 64 201 188 71 68 91 40
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 32010 5730 2955 915 4050 2160 2970 2535 1770 1350 1440

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2010

Shanghai Beijing
Population 20217748 16446857
New Cancer Cases 45526 37035
SURGERY % of patients needing surgery 42.74 42.74
Number (#) of patients needing surgery 19459 15829
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 368.31 299.61
CHEMOTHERAPY % of patients requiring chemo 71.12 71.12
# of patients requiring chemo 32377 26338
ALOS for chemo 3.44 3.44
# of chemo beds/day 304.93 248.06
RADIOTHERAPY % of patients requiring RT 55.98 55.98
# of patients 25483 20730
# of admitted patients 6371 5183
ALOS 5 5
# of RT beds/day 87.21 70.95
ONCOLOGY BEDS Maximum # of beds/day 761 619
# of 24 bed oncology wards 32 26
ONCOLOGISTS Hematologist Oncologists 4 3
Surgical Oncologists 41 33
Radiation/Clinical Oncologists 228 186
Urologic Oncologists 6 5
Gynecologic Oncologist 6 5
Pathologists 92 75
PHARMACY Onco-Pharmacists 128 104
Onco-Pharmacy Technicians 192 156
PALLIATIVE CARE Palliative Care Specialists 92 75
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 306 249
Medical Physicists 102 83
Linac Engineers 26 21
Radiation Oncology Nurses 102 83
Linacs / Co 60 Megavolt Units 51 42
# of Brachytherapy units 26 21
# CT simulators 26 21
# of treatment planning computers 26 21
# of dosimetry/QA package 26 21
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 480 390

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