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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN COLUMBIA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Gynecological Breast Stomach Hematological Malignancies Lung Head & Neck Colorectal Brain, nervous system Gallbladder
New Cancer Cases 58534.00 9002 6822 6655 6638 5373 4469 4199 4107 1,491 1156
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 53.54 73.75 56.67 100.00 33 0 25 44 70 100 33
Number (#) of patients needing surgery 31340 6639 3866 6655 2191 0 1117 1848 2875 1491 381
Average length of stay (ALOS) for surgery 6.81 8 6.33 5 5 0 10 6.8 9 9 9
# of surgery beds/day 584.61 145.41 67.03 91.10 29.99 0.00 30.59 34.40 70.84 36.74 9.40
CHEMOTHERAPY % of patients requiring chemo 76.72 62.5 66.67 100 66 100 50 66 90 100 66
# of patients requiring chemo 44905.53 5626 4548 6655 4381 5373 2235 2771 3696 1491 763
ALOS for chemo 3.44 3.5 3 3 3 6.5 3 3.4 3 3 3
# of chemo beds/day 422.93 53.91 37.36 54.66 35.98 95.62 18.35 25.80 30.36 12.25 6.27
RADIOTHERAPY % of patients requiring RT 59.98 41.25 40 100 50 32.5 90 71 25 100 50
# of patients 35105.77 3713 2729 6655 3319 1746 4022 2981 1027 1491 578
# of admitted patients 8776.44 928 682 1664 830 437 1006 745 257 373 145
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 120.14 12.71 9.34 22.78 11.36 5.98 13.76 10.20 3.51 5.10 1.98
ONCOLOGY BEDS Maximum # of beds/day 1128 213 114 169 78 102 63 71 105 55 18
# of 24 bed oncology wards 47 9 5 8 4 5 3 3 5 3 1
ONCOLOGISTS Hematologist Oncologists 11 0 0 0 0 11 0 0 0 0 0
Surgical Oncologists 66 14 9 14 5 0 3 4 6 4 1
Radiation/Clinical Oncologists 293 46 35 34 34 27 23 21 21 8 6
Urologic Oncologists 19 19 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 14 0 14 0 0 0 0 0 0 0 0
Neuro-Oncologists 3 0 0 0 0 0 0 0 0 3 0
Pathologists 118 19 14 14 14 11 9 9 9 3 3
PHARMACY Onco-Pharmacists 188 36 20 32 16 20 12 12 20 12 4
Onco-Pharmacy Technicians 282 54 30 48 24 30 18 18 30 18 6
PALLIATIVE CARE Palliative Care Specialists 118 19 14 14 14 11 9 9 9 3 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 422 45 33 80 40 21 49 36 13 18 7
Medical Physicists 141 15 11 27 14 7 17 12 5 6 3
Linac Engineers 36 4 3 7 4 2 5 3 2 2 1
Radiation Oncology Nurses 141 15 11 27 14 7 17 12 5 6 3
Linacs / Co 60 Megavolt Units 71 8 6 14 7 4 9 6 3 3 2
# of Brachytherapy units 36 4 3 7 4 2 5 3 2 2 1
# CT simulators 36 4 3 7 4 2 5 3 2 2 1
# of treatment planning computers 36 4 3 7 4 2 5 3 2 2 1
# of dosimetry/QA package 36 4 3 7 4 2 5 3 2 2 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 705 135 75 120 60 75 45 45 75 45 15

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2011

Bogotá Medellín
Population 7451700 2335600
New Cancer Cases 9691 3038
SURGERY % of patients needing surgery 53.54 53.54
Number (#) of patients needing surgery 5189 1627
Average length of stay (ALOS) for surgery 6.81 6.81
# of surgery beds/day 96.79 30.34
CHEMOTHERAPY % of patients requiring chemo 76.72 76.72
# of patients requiring chemo 7435 2331
ALOS for chemo 3.44 3.44
# of chemo beds/day 70.02 21.95
RADIOTHERAPY % of patients requiring RT 59.98 59.98
# of patients 5812 1822
# of admitted patients 1453 456
ALOS 5 5
# of RT beds/day 19.89 6.24
ONCOLOGY BEDS Maximum # of beds/day 187 59
# of 24 bed oncology wards 8 3
ONCOLOGISTS Hematologist Oncologists 2 1
Surgical Oncologists 11 4
Radiation/Clinical Oncologists 49 16
Urologic Oncologists 4 1
Gynecologic Oncologist 3 1
Neuro-Oncologists 1 1
Pathologists 20 7
PHARMACY Onco-Pharmacists 32 12
Onco-Pharmacy Technicians 48 18
PALLIATIVE CARE Palliative Care Specialists 20 7
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 70 22
Medical Physicists 24 8
Linac Engineers 6 2
Radiation Oncology Nurses 24 8
Linacs / Co 60 Megavolt Units 12 4
# of Brachytherapy units 6 2
# CT simulators 6 2
# of treatment planning computers 6 2
# of dosimetry/QA package 6 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 120 45

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