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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN CUBA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Lung Breast Colorectal Gynecological Head and Neck Hematological Stomach Pancreas Esophagus
New Cancer Cases 39410 10047 6143 4433 3896 3087 2858 2104 1126 895 834
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 43.24 73.75 25 100 70 56.67 44 0 33 10 20
Number (#) of patients needing surgery 17042 7410 1536 4433 2727 1749 1258 0 372 90 167
Average length of stay (ALOS) for surgery 6.91 8 10 5 9 6.33 6.8 0 5 10 9
# of surgery beds/day 322.56 162.29 42.05 60.68 67.20 30.33 23.41 0.00 5.09 2.45 4.11
CHEMOTHERAPY % of patients requiring chemo 74.12 62.5 50 100 90 66.67 66 100 66 50 90
# of patients requiring chemo 29209.51 6279 3072 4433 3506 2058 1886 2104 743 448 751
ALOS for chemo 3.64 3.5 3 3 3 3 3.4 6.5 3 5 3
# of chemo beds/day 291.10 60.17 25.23 36.41 28.80 16.90 17.56 37.44 6.10 6.13 6.17
RADIOTHERAPY % of patients requiring RT 58.98 41.25 90 100 25 40 71 32.5 50 50 90
# of patients 23242.05 4144 5529 4433 974 1235 2029 684 563 448 751
# of admitted patients 5810.51 1036 1382 1108 244 309 507 171 141 112 188
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 79.54 14.18 18.92 15.17 3.33 4.23 6.94 2.34 1.93 1.53 2.57
ONCOLOGY BEDS Maximum # of beds/day 694 237 87 113 100 52 48 40 14 11 13
# of 24 bed oncology wards 29 10 4 5 5 3 2 2 1 1 1
ONCOLOGISTS Hematologist Oncologists 5 0 0 0 0 0 0 5 0 0 0
Surgical Oncologists 36 16 4 10 6 4 3 0 1 1 1
Radiation/Clinical Oncologists 198 51 31 23 20 16 15 11 6 5 5
Urologic Oncologists 21 21 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 7 0 0 0 0 7 0 0 0 0 0
Pathologists 79 21 13 9 8 7 6 5 3 2 2
PHARMACY Onco-Pharmacists 116 40 16 20 20 12 8 8 4 4 4
Onco-Pharmacy Technicians 174 60 24 30 30 18 12 12 6 6 6
PALLIATIVE CARE Palliative Care Specialists 79 21 13 9 8 7 6 5 3 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 279 50 67 54 12 15 25 9 7 6 10
Medical Physicists 93 17 23 18 4 5 9 3 3 2 4
Linac Engineers 24 5 6 5 1 2 3 1 1 1 1
Radiation Oncology Nurses 93 17 23 18 4 5 9 3 3 2 4
Linacs / Co 60 Megavolt Units 47 9 12 9 2 3 5 2 2 1 2
# of Brachytherapy units 24 5 6 5 1 2 3 1 1 1 1
# CT simulators 24 5 6 5 1 2 3 1 1 1 1
# of treatment planning computers 24 5 6 5 1 2 3 1 1 1 1
# of dosimetry/QA package 24 5 6 5 1 2 3 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 435 150 60 75 75 45 30 30 15 15 15

RESOURCES NEEDED IN CITIES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2013

La Habana Santiago de Cuba
Population 2117343 432266
New Cancer Cases 7418 1515
SURGERY % of patients needing surgery 43.24 43.24
Number (#) of patients needing surgery 3208 655
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 60.71 12.40
CHEMOTHERAPY % of patients requiring chemo 74.12 74.12
# of patients requiring chemo 5498 1123
ALOS for chemo 3.64 3.64
# of chemo beds/day 54.79 11.19
RADIOTHERAPY % of patients requiring RT 58.98 58.98
# of patients 4375 893
# of admitted patients 1094 223
ALOS 5 5
# of RT beds/day 14.97 3.06
ONCOLOGY BEDS Maximum # of beds/day 131 27
# of 24 bed oncology wards 6 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 7 2
Radiation/Clinical Oncologists 38 8
Urologic Oncologists 4 1
Gynecologic Oncologist 2 1
Pathologists 15 4
PHARMACY Onco-Pharmacists 24 8
Onco-Pharmacy Technicians 36 12
PALLIATIVE CARE Palliative Care Specialists 15 4
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 53 11
Medical Physicists 18 4
Linac Engineers 5 1
Radiation Oncology Nurses 18 4
Linacs / Co 60 Megavolt Units 9 2
# of Brachytherapy units 5 1
# CT simulators 5 1
# of treatment planning computers 5 1
# of dosimetry/QA package 5 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 90 30

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