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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ECUADOR

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Stomach Gynecological Breast Hematological Malignancies Colorectal Head & Neck Liver Lung Pancreas Brain, nervous system
New Cancer Cases 20167 3268 3025 2347 1882 1787 1240 1235 1050 1043 477 477
Rank 1 2 3 4 5 6 7 8 9 10 10
SURGERY % of patients needing surgery 47.04 73.75 33 56.67 100.00 0 70 44 5 25 10 100
Number (#) of patients needing surgery 9486 2410 998 1330 1882 0 868 543 53 261 48 477
Average length of stay (ALOS) for surgery 7.19 8 5 6.33 5 0 9 6.8 10 10 10 9
# of surgery beds/day 186.84 52.79 13.67 23.06 25.76 0.00 21.39 10.12 1.44 7.14 1.31 11.75
CHEMOTHERAPY % of patients requiring chemo 70.11 62.5 66 66.67 100 100 90 66 20 50 50 100
# of patients requiring chemo 14138.35 2043 1997 1565 1882 1787 1116 815 210 522 239 477
ALOS for chemo 3.58 3.5 3 3 3 6.5 3 3.4 3 3 5 3
# of chemo beds/day 138.65 19.57 16.40 12.85 15.46 31.80 9.17 7.59 1.72 4.28 3.26 3.92
RADIOTHERAPY % of patients requiring RT 56.34 41.25 50 40 100 32.5 25 71 20 90 50 100
# of patients 11362.27 1348 1513 939 1882 581 310 877 210 939 239 477
# of admitted patients 2840.57 337 378 235 471 145 78 219 53 235 60 119
ALOS 5.00 5 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 38.89 4.61 5.18 3.21 6.44 1.99 1.06 3.00 0.72 3.21 0.82 1.63
ONCOLOGY BEDS Maximum # of beds/day 365 77 36 40 48 34 32 21 4 15 6 18
# of 24 bed oncology wards 16 4 2 2 2 2 2 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 4 0 0 0 0 4 0 0 0 0 0 0
Surgical Oncologists 20 6 3 3 4 0 2 2 1 1 1 1
Radiation/Clinical Oncologists 101 17 16 12 10 9 7 7 6 6 3 3
Urologic Oncologists 7 7 0 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 5 0 0 5 0 0 0 0 0 0 0 0
Neuro-Oncologists 1 0 0 0 0 0 0 0 0 0 0 1
Pathologists 41 7 7 5 4 4 3 3 3 3 1 1
PHARMACY Onco-Pharmacists 64 16 8 8 8 8 8 4 4 4 4 4
Onco-Pharmacy Technicians 96 24 12 12 12 12 12 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 41 7 7 5 4 4 3 3 3 3 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 137 17 19 12 23 7 4 11 3 12 3 6
Medical Physicists 46 6 7 4 8 3 2 4 1 4 1 2
Linac Engineers 12 2 2 1 2 1 1 1 1 1 1 1
Radiation Oncology Nurses 46 6 7 4 8 3 2 4 1 4 1 2
Linacs / Co 60 Megavolt Units 23 3 4 2 4 2 1 2 1 2 1 1
# of Brachytherapy units 12 2 2 1 2 1 1 1 1 1 1 1
# CT simulators 12 2 2 1 2 1 1 1 1 1 1 1
# of treatment planning computers 12 2 2 1 2 1 1 1 1 1 1 1
# of dosimetry/QA package 12 2 2 1 2 1 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 240 60 30 30 30 30 30 15 15 15 15 15

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

Guayaquil Quito
Population 2278691 1607734
New Cancer Cases 3409 2406
SURGERY % of patients needing surgery 47.04 47.04
Number (#) of patients needing surgery 1604 1132
Average length of stay (ALOS) for surgery 7.19 7.19
# of surgery beds/day 31.58 22.29
CHEMOTHERAPY % of patients requiring chemo 70.11 70.11
# of patients requiring chemo 2390 1687
ALOS for chemo 3.58 3.58
# of chemo beds/day 23.44 16.54
RADIOTHERAPY % of patients requiring RT 56.34 56.34
# of patients 1921 1356
# of admitted patients 480 339
ALOS 5 5
# of RT beds/day 6.57 4.64
ONCOLOGY BEDS Maximum # of beds/day 62 44
# of 24 bed oncology wards 3 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 4 3
Radiation/Clinical Oncologists 18 13
Urologic Oncologists 2 1
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 7 5
PHARMACY Onco-Pharmacists 12 8
Onco-Pharmacy Technicians 18 12
PALLIATIVE CARE Palliative Care Specialists 7 5
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 24 17
Medical Physicists 8 6
Linac Engineers 2 2
Radiation Oncology Nurses 8 6
Linacs / Co 60 Megavolt Units 4 3
# of Brachytherapy units 2 2
# CT simulators 2 2
# of treatment planning computers 2 2
# of dosimetry/QA package 2 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 + 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