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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ECUADOR

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Gynecological Stomach Breast Hematological Head and Neck Colorectal Lung Liver Brain, nervous system
New Cancer Cases 23360 4547 2722 2401 2298 2247 1637 1504 1035 705 631
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 73.75 56.67 33 100 0 44 70 25 5 100
Number (#) of patients needing surgery 11853 3353 1542 792 2298 0 720 1053 259 35 631
Average length of stay (ALOS) for surgery 6.91 8 6.33 5 5 0 6.8 9 10 10 9
# of surgery beds/day 224.35 73.45 26.75 10.85 31.46 0.00 13.41 25.94 7.08 0.97 15.55
CHEMOTHERAPY % of patients requiring chemo 72.12 62.5 66.67 66 100 100 66 90 50 20 100
# of patients requiring chemo 16846.53 2842 1815 1585 2298 2247 1080 1354 518 141 631
ALOS for chemo 3.44 3.5 3 3 3 6.5 3.4 3 3 3 3
# of chemo beds/day 158.66 27.23 14.91 13.02 18.87 39.99 10.06 11.12 4.25 1.16 5.18
RADIOTHERAPY % of patients requiring RT 56.98 41.25 40 50 100 32.5 71 25 90 20 100
# of patients 13309.36 1876 1089 1201 2298 730 1162 376 932 141 631
# of admitted patients 3327.34 469 272 300 575 183 291 94 233 35 158
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 45.55 6.42 3.73 4.11 7.86 2.50 3.98 1.29 3.19 0.48 2.16
ONCOLOGY BEDS Maximum # of beds/day 429 108 46 28 59 43 28 39 15 3 23
# of 24 bed oncology wards 18 5 2 2 3 2 2 2 1 1 1
ONCOLOGISTS Hematologist Oncologists 5 0 0 0 0 5 0 0 0 0 0
Surgical Oncologists 25 7 4 2 5 0 2 3 1 1 2
Radiation/Clinical Oncologists 117 23 14 13 12 12 9 8 6 4 4
Urologic Oncologists 10 10 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 6 0 6 0 0 0 0 0 0 0 0
Neuro-Oncologists 2 0 0 0 0 0 0 0 0 0 2
Pathologists 47 10 6 5 5 5 4 4 3 2 2
PHARMACY Onco-Pharmacists 72 20 8 8 12 8 8 8 4 4 4
Onco-Pharmacy Technicians 108 30 12 12 18 12 12 12 6 6 6
PALLIATIVE CARE Palliative Care Specialists 47 10 6 5 5 5 4 4 3 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 160 23 14 15 28 9 14 5 12 2 8
Medical Physicists 54 8 5 5 10 3 5 2 4 1 3
Linac Engineers 14 2 2 2 3 1 2 1 1 1 1
Radiation Oncology Nurses 54 8 5 5 10 3 5 2 4 1 3
Linacs / Co 60 Megavolt Units 27 4 3 3 5 2 3 1 2 1 2
# of Brachytherapy units 14 2 2 2 3 1 2 1 1 1 1
# CT simulators 14 2 2 2 3 1 2 1 1 1 1
# of treatment planning computers 14 2 2 2 3 1 2 1 1 1 1
# of dosimetry/QA package 14 2 2 2 3 1 2 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 270 75 30 30 45 30 30 30 15 15 15

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

Guayaquil Quito
Population 2278691 1607734
New Cancer Cases 3582 2527
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 1818 1282
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 34.40 24.27
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 2583 1822
ALOS for chemo 3.44 3.44
# of chemo beds/day 24.33 17.16
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 2041 1440
# of admitted patients 510 360
ALOS 5 5
# of RT beds/day 6.98 4.93
ONCOLOGY BEDS Maximum # of beds/day 66 47
# of 24 bed oncology wards 3 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 4 3
Radiation/Clinical Oncologists 18 13
Urologic Oncologists 2 2
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 8 6
PHARMACY Onco-Pharmacists 12 8
Onco-Pharmacy Technicians 18 12
PALLIATIVE CARE Palliative Care Specialists 8 6
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 25 18
Medical Physicists 9 6
Linac Engineers 3 2
Radiation Oncology Nurses 9 6
Linacs / Co 60 Megavolt Units 5 3
# of Brachytherapy units 3 2
# CT simulators 3 2
# of treatment planning computers 3 2
# of dosimetry/QA package 3 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 45 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