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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN COSTA RICA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Stomach Colorectal Head and Neck
New Cancer Cases 8948 2010 1145 874 819 746
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 64.15 73.75 100 33 70 44
Number (#) of patients needing surgery 5740 1482 1145 288 573 328
Average length of stay (ALOS) for surgery 6.76 8 5 5 9 6.8
# of surgery beds/day 106.24 32.47 15.67 3.95 14.13 6.11
CHEMOTHERAPY % of patients requiring chemo 76.90 62.5 100 66 90 66
# of patients requiring chemo 6881.01 1256 1145 577 737 492
ALOS for chemo 3.18 3.5 3 3 3 3.4
# of chemo beds/day 59.91 12.04 9.40 4.74 6.05 4.58
RADIOTHERAPY % of patients requiring RT 57.45 41.25 100 50 25 71
# of patients 5140.63 829 1145 437 205 530
# of admitted patients 1285.16 207 286 109 51 132
ALOS 5.00 5 5 5 5 5
# of RT beds/day 17.59 2.84 3.92 1.50 0.70 1.81
ONCOLOGY BEDS Maximum # of beds/day 184 48 29 11 21 13
# of 24 bed oncology wards 8 2 2 1 1 1
ONCOLOGISTS Surgical Oncologists 12 4 3 1 2 1
Radiation/Clinical Oncologists 45 11 6 5 5 4
Urologic Oncologists 5 5 0 0 0 0
Pathologists 18 5 3 2 2 2
PHARMACY Onco-Pharmacists 32 8 8 4 4 4
Onco-Pharmacy Technicians 48 12 12 6 6 6
PALLIATIVE CARE Palliative Care Specialists 18 5 3 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 62 10 14 6 3 7
Medical Physicists 21 4 5 2 1 3
Linac Engineers 6 1 2 1 1 1
Radiation Oncology Nurses 21 4 5 2 1 3
Linacs / Co 60 Megavolt Units 11 2 3 1 1 2
# of Brachytherapy units 6 1 2 1 1 1
# CT simulators 6 1 2 1 1 1
# of treatment planning computers 6 1 2 1 1 1
# of dosimetry/QA package 6 1 2 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 120 30 30 15 15 15

RESOURCES NEEDED IN MAJOR URBAN AREAS BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2011

San José Heredia
Population 1188019 279984
New Cancer Cases 2218 523
SURGERY % of patients needing surgery 64.15 64.15
Number (#) of patients needing surgery 1423 336
Average length of stay (ALOS) for surgery 6.76 6.76
# of surgery beds/day 26.33 6.21
CHEMOTHERAPY % of patients requiring chemo 76.90 76.90
# of patients requiring chemo 1706 402
ALOS for chemo 3.18 3.18
# of chemo beds/day 14.85 3.50
RADIOTHERAPY % of patients requiring RT 57.45 57.45
# of patients 1274 300
# of admitted patients 319 75
ALOS 5 5
# of RT beds/day 4.36 1.03
ONCOLOGY BEDS Maximum # of beds/day 46 11
# of 24 bed oncology wards 2 1
ONCOLOGISTS Surgical Oncologists 3 1
Radiation/Clinical Oncologists 12 3
Urologic Oncologists 2 1
Pathologists 5 2
PHARMACY Onco-Pharmacists 8 4
Onco-Pharmacy Technicians 12 6
PALLIATIVE CARE Palliative Care Specialists 5 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 16 4
Medical Physicists 6 2
Linac Engineers 2 1
Radiation Oncology Nurses 6 2
Linacs / Co 60 Megavolt Units 3 1
# of Brachytherapy units 2 1
# CT simulators 2 1
# of treatment planning computers 2 1
# of dosimetry/QA package 2 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 30 15

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 5 cancers