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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN DOMINICAN REPUBLIC

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Gynecological Lung Colorectal Head and Neck Liver Hematological Stomach Brain, nervous system
New Cancer Cases 14680 3350 1821 1762 1140 987 972 851 736 696 327
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 73.75 100 56.67 25 70 44 5 0 33 100
Number (#) of patients needing surgery 7449 2471 1821 998 285 691 428 43 0 230 327
Average length of stay (ALOS) for surgery 6.91 8 5 6.33 10 9 6.8 10 0 5 9
# of surgery beds/day 140.99 54.11 24.93 17.31 7.80 17.02 7.96 1.16 0.00 3.14 8.06
CHEMOTHERAPY % of patients requiring chemo 72.12 62.5 100 66.67 50 90 66 20 100 66 100
# of patients requiring chemo 10586.78 2094 1821 1175 570 888 642 170 736 459 327
ALOS for chemo 3.44 3.5 3 3 3 3 3.4 3 6.5 3 3
# of chemo beds/day 99.71 20.06 14.96 9.65 4.68 7.30 5.97 1.40 13.10 3.77 2.69
RADIOTHERAPY % of patients requiring RT 56.98 41.25 100 40 90 25 71 20 32.5 50 100
# of patients 8363.93 1382 1821 705 1026 247 690 170 239 348 327
# of admitted patients 2090.98 345 455 176 257 62 173 43 60 87 82
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 28.62 4.73 6.23 2.41 3.51 0.84 2.36 0.58 0.82 1.19 1.12
ONCOLOGY BEDS Maximum # of beds/day 270 79 47 30 16 26 17 4 14 9 12
# of 24 bed oncology wards 12 4 2 2 1 2 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 0 0 0 0 2 0 0
Surgical Oncologists 16 6 4 3 1 2 1 1 0 1 1
Radiation/Clinical Oncologists 74 17 10 9 6 5 5 5 4 4 2
Urologic Oncologists 7 7 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 4 0 0 4 0 0 0 0 0 0 0
Neuro-Oncologists 1 0 0 0 0 0 0 0 0 0 1
Pathologists 30 7 4 4 3 2 2 2 2 2 1
PHARMACY Onco-Pharmacists 48 16 8 8 4 8 4 4 4 4 4
Onco-Pharmacy Technicians 72 24 12 12 6 12 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 30 7 4 4 3 2 2 2 2 2 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 101 17 22 9 13 3 9 3 3 5 4
Medical Physicists 34 6 8 3 5 1 3 1 1 2 2
Linac Engineers 9 2 2 1 2 1 1 1 1 1 1
Radiation Oncology Nurses 34 6 8 3 5 1 3 1 1 2 2
Linacs / Co 60 Megavolt Units 17 3 4 2 3 1 2 1 1 1 1
# of Brachytherapy units 9 2 2 1 2 1 1 1 1 1 1
# CT simulators 9 2 2 1 2 1 1 1 1 1 1
# of treatment planning computers 9 2 2 1 2 1 1 1 1 1 1
# of dosimetry/QA package 9 2 2 1 2 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 180 60 30 30 15 30 15 15 15 15 15

RESOURCES NEEDED IN CITIES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2010

Santo Domingo Santiago
Population 2581827 550753
New Cancer Cases 3723 794
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 1889 403
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 35.76 7.63
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 2685 573
ALOS for chemo 3.44 3.44
# of chemo beds/day 25.29 5.39
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 2121 452
# of admitted patients 530 113
ALOS 5 5
# of RT beds/day 7.26 1.55
ONCOLOGY BEDS Maximum # of beds/day 69 15
# of 24 bed oncology wards 3 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 4 1
Radiation/Clinical Oncologists 19 4
Urologic Oncologists 2 1
Gynecologic Oncologist 2 1
Neuro-Oncologists 1 1
Pathologists 8 2
PHARMACY Onco-Pharmacists 12 4
Onco-Pharmacy Technicians 18 6
PALLIATIVE CARE Palliative Care Specialists 8 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 26 6
Medical Physicists 9 2
Linac Engineers 3 1
Radiation Oncology Nurses 9 2
Linacs / Co 60 Megavolt Units 5 1
# of Brachytherapy units 3 1
# CT simulators 3 1
# of treatment planning computers 3 1
# of dosimetry/QA package 3 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 45 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 10 cancers