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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN CHINA

Cancer All cancers
excl. non-melanoma
skin cancer
Lung Stomach Liver Esophagus Colorectal Gynecological Breast Urological Hematological Head & Neck
New Cancer Cases 2817210 522050 464439 402208 259235 221313 190239 169452 124032 114351 98253
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 42.74 25 33 5 20 70 56.67 100.00 73.75 0 44
Number (#) of patients needing surgery 1204123 130513 153265 20110 51847 154919 107802 169452 91474 0 43231
Average length of stay (ALOS) for surgery 6.91 10 5 10 9 9 6.33 5 8 0 6.8
# of surgery beds/day 22791.24 3573.24 2098.08 550.59 1277.54 3817.31 1869.26 2319.67 2003.53 0.00 804.85
CHEMOTHERAPY % of patients requiring chemo 71.12 50 66 20 90 90 66.67 100 62.5 100 66
# of patients requiring chemo 2003515.24 261025 306530 80442 233312 199182 126832 169452 77520 114351 64847
ALOS for chemo 3.44 3 3 3 3 3 3 3 3.5 6.5 3.4
# of chemo beds/day 18869.52 2143.94 2517.70 660.71 1916.32 1635.99 1041.74 1391.80 742.83 2034.99 603.64
RADIOTHERAPY % of patients requiring RT 55.98 90 50 20 90 25 40 100 41.25 32.5 71
# of patients 1576933.30 469845 232220 80442 233312 55328 76096 169452 51163 37164 69760
# of admitted patients 394233.32 117461 58055 20110 58328 13832 19024 42363 12791 9291 17440
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 5396.76 1607.96 794.73 275.30 798.47 189.35 260.42 579.92 175.10 127.19 238.74
ONCOLOGY BEDS Maximum # of beds/day 47058 7326 5411 1487 3993 5643 3172 4292 2922 2163 1648
# of 24 bed oncology wards 1961 306 226 62 167 236 133 179 122 91 69
ONCOLOGISTS Hematologist Oncologists 229 0 0 0 0 0 0 0 0 229 0
Surgical Oncologists 2509 272 320 42 109 323 225 354 191 0 91
Radiation/Clinical Oncologists 14087 2611 2323 2012 1297 1107 952 848 621 572 492
Urologic Oncologists 249 0 0 0 0 0 0 0 249 0 0
Gynecologic Oncologist 381 0 0 0 0 0 381 0 0 0 0
Pathologists 5635 1045 929 805 519 443 381 339 249 229 197
PHARMACY Onco-Pharmacists 7844 1224 904 248 668 944 532 716 488 364 276
Onco-Pharmacy Technicians 11766 1836 1356 372 1002 1416 798 1074 732 546 414
PALLIATIVE CARE Palliative Care Specialists 5635 1045 929 805 519 443 381 339 249 229 197
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 18924 5639 2787 966 2800 664 914 2034 614 446 838
Medical Physicists 6308 1880 929 322 934 222 305 678 205 149 280
Linac Engineers 1577 470 233 81 234 56 77 170 52 38 70
Radiation Oncology Nurses 6308 1880 929 322 934 222 305 678 205 149 280
Linacs / Co 60 Megavolt Units 3154 940 465 161 467 111 153 339 103 75 140
# of Brachytherapy units 1577 470 233 81 234 56 77 170 52 38 70
# CT simulators 1577 470 233 81 234 56 77 170 52 38 70
# of treatment planning computers 1577 470 233 81 234 56 77 170 52 38 70
# of dosimetry/QA package 1577 470 233 81 234 56 77 170 52 38 70
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 29415 4590 3390 930 2505 3540 1995 2685 1830 1365 1035

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2010

Shanghai Beijing
Population 20217748 16446857
New Cancer Cases 42351 34452
SURGERY % of patients needing surgery 42.74 42.74
Number (#) of patients needing surgery 18102 14725
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 342.62 278.72
CHEMOTHERAPY % of patients requiring chemo 71.12 71.12
# of patients requiring chemo 30119 24501
ALOS for chemo 3.44 3.44
# of chemo beds/day 283.66 230.76
RADIOTHERAPY % of patients requiring RT 55.98 55.98
# of patients 23706 19285
# of admitted patients 5926 4821
ALOS 5 5
# of RT beds/day 81.13 66.00
ONCOLOGY BEDS Maximum # of beds/day 708 576
# of 24 bed oncology wards 30 24
ONCOLOGISTS Hematologist Oncologists 4 3
Surgical Oncologists 38 31
Radiation/Clinical Oncologists 212 173
Urologic Oncologists 4 4
Gynecologic Oncologist 6 5
Pathologists 85 69
PHARMACY Onco-Pharmacists 120 96
Onco-Pharmacy Technicians 180 144
PALLIATIVE CARE Palliative Care Specialists 85 69
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 285 232
Medical Physicists 95 78
Linac Engineers 24 20
Radiation Oncology Nurses 95 78
Linacs / Co 60 Megavolt Units 48 39
# of Brachytherapy units 24 20
# CT simulators 24 20
# of treatment planning computers 24 20
# of dosimetry/QA package 24 20
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 450 360

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
  4. Number of Radiation Oncologists = (5/1000)*total number of cancer cases
  5. Number of Surgical oncologists = (number of surgeries)/480. This is based on 2 surgeries per day, 5 days a week for 48 weeks)
  6. Number of GYN-oncologists = (2/1000)*GYN cancer cases
  7. Number of Urologic Oncologists = (2/1000)* urological cancer cases
  8. Number of Neuro-Oncologists = (2/1000)* brain, nervous system cancer cases
  9. Number of pathologist = (2/1000)*total number of cancer cases
  10. Number of Pharmacists = 4* number of 24 bed oncology wards
  11. Number of Pharmacy Technicians = 6 * number of 24 bed oncology wards
  12. 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
  13. Number of Radiation Technicians = (12/1000) * number of patients requiring radiation therapy
  14. Number of Linac Engineers = (1/1000) * number of patients requiring radiation therapy
  15. Number of Radiation Therapy nurses = (4/1000) * number of patients requiring radiation therapy
  16. Number of Linacs = (2/1000) * number of patients requiring radiation therapy
  17. Number of Brachy therapy units/CT simulators/treatment planning computers/ dosimetry/QA package = (1/1000) * number of patients requiring radiation therapy
  18. Number of nurses = 15*number of 24 bed oncology wards (1 head nurse + 1 nurse specialist + 13 nurses for each 24 bed oncology ward).
  19. 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