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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN CUBA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Colorectal Gynecological Head & Neck Hematological Malignancies Liver Lung Pancreas Stomach Urological
New Cancer Cases 31503 3028 2983 3178 2954 1964 749 5333 819 1067 6115
Rank 4 5 3 6 7 10 2 9 8 1
SURGERY % of patients needing surgery 41.74 100.00 70 56.67 44 0 5 25 10 33 73.75
Number (#) of patients needing surgery 13150 3028 2088 1801 1300 0 37 1333 82 352 4510
Average length of stay (ALOS) for surgery 7.01 5 9 6.33 6.8 0 10 10 10 5 8
# of surgery beds/day 252.50 41.45 51.45 31.23 24.20 0.00 1.03 36.50 2.24 4.82 98.78
CHEMOTHERAPY % of patients requiring chemo 67.12 100 90 66.67 66 100 20 50 50 66 62.5
# of patients requiring chemo 21143.87 3028 2685 2119 1950 1964 150 2667 410 704 3822
ALOS for chemo 3.64 3 3 3 3.4 6.5 3 3 5 3 3.5
# of chemo beds/day 210.72 24.87 22.05 17.40 18.15 34.95 1.23 21.90 5.61 5.78 36.62
RADIOTHERAPY % of patients requiring RT 51.98 100 25 40 71 32.5 20 90 50 50 41.25
# of patients 16373.68 3028 746 1271 2097 638 150 4800 410 534 2522
# of admitted patients 4093.42 757 186 318 524 160 37 1200 102 133 631
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 56.04 10.36 2.55 4.35 7.18 2.18 0.51 16.43 1.40 1.83 8.63
ONCOLOGY BEDS Maximum # of beds/day 520 77 77 53 50 38 3 75 10 13 145
# of 24 bed oncology wards 22 4 4 3 3 2 1 4 1 1 7
ONCOLOGISTS Hematologist Oncologists 4 0 0 0 0 4 0 0 0 0 0
Surgical Oncologists 28 7 5 4 3 0 1 3 1 1 10
Radiation/Clinical Oncologists 158 16 15 16 15 10 4 27 5 6 31
Urologic Oncologists 13 0 0 0 0 0 0 0 0 0 13
Gynecologic Oncologist 7 0 0 7 0 0 0 0 0 0 0
Pathologists 64 7 6 7 6 4 2 11 2 3 13
PHARMACY Onco-Pharmacists 88 16 16 12 12 8 4 16 4 4 28
Onco-Pharmacy Technicians 132 24 24 18 18 12 6 24 6 6 42
PALLIATIVE CARE Palliative Care Specialists 64 7 6 7 6 4 2 11 2 3 13
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 197 37 9 16 26 8 2 58 5 7 31
Medical Physicists 66 13 3 6 9 3 1 20 2 3 11
Linac Engineers 17 4 1 2 3 1 1 5 1 1 3
Radiation Oncology Nurses 66 13 3 6 9 3 1 20 2 3 11
Linacs / Co 60 Megavolt Units 33 7 2 3 5 2 1 10 1 2 6
# of Brachytherapy units 17 4 1 2 3 1 1 5 1 1 3
# CT simulators 17 4 1 2 3 1 1 5 1 1 3
# of treatment planning computers 17 4 1 2 3 1 1 5 1 1 3
# of dosimetry/QA package 17 4 1 2 3 1 1 5 1 1 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 330 60 60 45 45 30 15 60 15 15 105

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

La Habana Santiago de Cuba
Population 2135498 425851
New Cancer Cases 6005 1198
SURGERY % of patients needing surgery 41.74 41.74
Number (#) of patients needing surgery 2507 500
Average length of stay (ALOS) for surgery 7.01 7.01
# of surgery beds/day 48.13 9.60
CHEMOTHERAPY % of patients requiring chemo 67.12 67.12
# of patients requiring chemo 4030 804
ALOS for chemo 3.64 3.64
# of chemo beds/day 40.17 8.01
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 3121 623
# of admitted patients 780 156
ALOS 5 5
# of RT beds/day 10.68 2.13
ONCOLOGY BEDS Maximum # of beds/day 99 20
# of 24 bed oncology wards 5 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 6 2
Radiation/Clinical Oncologists 31 6
Urologic Oncologists 3 1
Gynecologic Oncologist 2 1
Pathologists 13 3
PHARMACY Onco-Pharmacists 20 4
Onco-Pharmacy Technicians 30 6
PALLIATIVE CARE Palliative Care Specialists 13 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 38 8
Medical Physicists 13 3
Linac Engineers 4 1
Radiation Oncology Nurses 13 3
Linacs / Co 60 Megavolt Units 7 2
# of Brachytherapy units 4 1
# CT simulators 4 1
# of treatment planning computers 4 1
# of dosimetry/QA package 4 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 75 15

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