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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN COLOMBIA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Gynecological Hematological Stomach Colorectal Head and Neck Lung Pancreas Melanoma of skin
New Cancer Cases 71442 12540 8686 6949 6824 5897 5663 4926 4780 1643 1488
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 73.75 100 56.67 0 33 70 44 25 10 100
Number (#) of patients needing surgery 36608 9248 8686 3938 0 1946 3964 2167 1195 164 1488
Average length of stay (ALOS) for surgery 6.31 8 5 6.33 0 5 9 6.8 10 10 3
# of surgery beds/day 632.77 202.56 118.90 68.28 0.00 26.64 97.68 40.35 32.72 4.50 12.22
CHEMOTHERAPY % of patients requiring chemo 70.12 62.5 100 66.67 100 66 90 66 50 50 50
# of patients requiring chemo 50092.99 7838 8686 4633 6824 3892 5097 3251 2390 822 744
ALOS for chemo 3.64 3.5 3 3 6.5 3 3 3.4 3 5 3
# of chemo beds/day 499.22 75.10 71.34 38.05 121.44 31.97 41.86 30.26 19.63 11.25 6.11
RADIOTHERAPY % of patients requiring RT 54.98 41.25 100 40 32.5 50 25 71 90 50 50
# of patients 39275.24 5173 8686 2780 2218 2949 1416 3497 4302 822 744
# of admitted patients 9818.81 1293 2172 695 554 737 354 874 1076 205 186
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 134.41 17.70 29.73 9.51 7.59 10.09 4.85 11.97 14.72 2.81 2.55
ONCOLOGY BEDS Maximum # of beds/day 1267 296 220 116 130 69 145 83 68 19 21
# of 24 bed oncology wards 53 13 10 5 6 3 7 4 3 1 1
ONCOLOGISTS Hematologist Oncologists 14 0 0 0 14 0 0 0 0 0 0
Surgical Oncologists 77 20 19 9 0 5 9 5 3 1 4
Radiation/Clinical Oncologists 358 63 44 35 35 30 29 25 24 9 8
Urologic Oncologists 26 26 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 14 0 0 14 0 0 0 0 0 0 0
Pathologists 143 26 18 14 14 12 12 10 10 4 3
PHARMACY Onco-Pharmacists 212 52 40 20 24 12 28 16 12 4 4
Onco-Pharmacy Technicians 318 78 60 30 36 18 42 24 18 6 6
PALLIATIVE CARE Palliative Care Specialists 143 26 18 14 14 12 12 10 10 4 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 472 63 105 34 27 36 17 42 52 10 9
Medical Physicists 158 21 35 12 9 12 6 14 18 4 3
Linac Engineers 40 6 9 3 3 3 2 4 5 1 1
Radiation Oncology Nurses 158 21 35 12 9 12 6 14 18 4 3
Linacs / Co 60 Megavolt Units 79 11 18 6 5 6 3 7 9 2 2
# of Brachytherapy units 40 6 9 3 3 3 2 4 5 1 1
# CT simulators 40 6 9 3 3 3 2 4 5 1 1
# of treatment planning computers 40 6 9 3 3 3 2 4 5 1 1
# of dosimetry/QA package 40 6 9 3 3 3 2 4 5 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 795 195 150 75 90 45 105 60 45 15 15

RESOURCES NEEDED IN CITIES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2014

Bogotá Medellín
Population 7760500 2410800
New Cancer Cases 11660 3623
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 5975 1856
Average length of stay (ALOS) for surgery 6.31 6.31
# of surgery beds/day 103.27 32.09
CHEMOTHERAPY % of patients requiring chemo 70.12 70.12
# of patients requiring chemo 8176 2540
ALOS for chemo 3.64 3.64
# of chemo beds/day 81.48 25.32
RADIOTHERAPY % of patients requiring RT 54.98 54.98
# of patients 6410 1992
# of admitted patients 1603 498
ALOS 5 5
# of RT beds/day 21.94 6.82
ONCOLOGY BEDS Maximum # of beds/day 207 65
# of 24 bed oncology wards 9 3
ONCOLOGISTS Hematologist Oncologists 3 1
Surgical Oncologists 13 4
Radiation/Clinical Oncologists 59 19
Urologic Oncologists 5 2
Gynecologic Oncologist 3 1
Pathologists 24 8
PHARMACY Onco-Pharmacists 36 12
Onco-Pharmacy Technicians 54 18
PALLIATIVE CARE Palliative Care Specialists 24 8
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 77 24
Medical Physicists 26 8
Linac Engineers 7 2
Radiation Oncology Nurses 26 8
Linacs / Co 60 Megavolt Units 13 4
# of Brachytherapy units 7 2
# CT simulators 7 2
# of treatment planning computers 7 2
# of dosimetry/QA package 7 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 135 45

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