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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN EGYPT

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Liver Urological Hematological Head and Neck Brain, nervous system Lung Gynecological Colorectal Pancreas
New Cancer Cases 108611 18660 17621 13225 11938 6023 5404 5017 4658 4060 2347
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 48.44 100 5 73.75 0 44 100 25 56.67 70 10
Number (#) of patients needing surgery 52613 18660 881 9753 0 2650 5404 1254 2640 2842 235
Average length of stay (ALOS) for surgery 7.41 5 10 8 0 6.8 9 10 6.33 9 10
# of surgery beds/day 1067.86 255.44 24.12 213.63 0.00 49.34 133.16 34.34 45.77 70.03 6.43
CHEMOTHERAPY % of patients requiring chemo 70.52 100 20 62.5 100 66 100 50 66.67 90 50
# of patients requiring chemo 76589.22 18660 3524 8266 11938 3975 5404 2509 3105 3654 1174
ALOS for chemo 3.64 3 3 3.5 6.5 3.4 3 3 3 3 5
# of chemo beds/day 763.27 153.26 28.95 79.21 212.45 37.00 44.39 20.60 25.51 30.01 16.06
RADIOTHERAPY % of patients requiring RT 56.98 100 20 41.25 32.5 71 100 90 40 25 50
# of patients 61881.12 18660 3524 5455 3880 4276 5404 4515 1863 1015 1174
# of admitted patients 15470.28 4665 881 1364 970 1069 1351 1129 466 254 293
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 211.78 63.86 12.06 18.67 13.28 14.63 18.49 15.45 6.38 3.47 4.02
ONCOLOGY BEDS Maximum # of beds/day 2043 473 66 312 226 101 197 71 78 104 27
# of 24 bed oncology wards 86 20 3 13 10 5 9 3 4 5 2
ONCOLOGISTS Hematologist Oncologists 24 0 0 0 24 0 0 0 0 0 0
Surgical Oncologists 110 39 2 21 0 6 12 3 6 6 1
Radiation/Clinical Oncologists 544 94 89 67 60 31 28 26 24 21 12
Urologic Oncologists 27 0 0 27 0 0 0 0 0 0 0
Gynecologic Oncologist 10 0 0 0 0 0 0 0 10 0 0
Neuro-Oncologists 11 0 0 0 0 0 11 0 0 0 0
Pathologists 218 38 36 27 24 13 11 11 10 9 5
PHARMACY Onco-Pharmacists 344 80 12 52 40 20 36 12 16 20 8
Onco-Pharmacy Technicians 516 120 18 78 60 30 54 18 24 30 12
PALLIATIVE CARE Palliative Care Specialists 218 38 36 27 24 13 11 11 10 9 5
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 743 224 43 66 47 52 65 55 23 13 15
Medical Physicists 248 75 15 22 16 18 22 19 8 5 5
Linac Engineers 62 19 4 6 4 5 6 5 2 2 2
Radiation Oncology Nurses 248 75 15 22 16 18 22 19 8 5 5
Linacs / Co 60 Megavolt Units 124 38 8 11 8 9 11 10 4 3 3
# of Brachytherapy units 62 19 4 6 4 5 6 5 2 2 2
# CT simulators 62 19 4 6 4 5 6 5 2 2 2
# of treatment planning computers 62 19 4 6 4 5 6 5 2 2 2
# of dosimetry/QA package 62 19 4 6 4 5 6 5 2 2 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1290 300 45 195 150 75 135 45 60 75 30

RESOURCES NEEDED IN GOVERNORATES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2013

Cairo Giza
Population 8922949 7205122
New Cancer Cases 11544 9321
SURGERY % of patients needing surgery 48.44 48.44
Number (#) of patients needing surgery 5592 4515
Average length of stay (ALOS) for surgery 7.41 7.41
# of surgery beds/day 113.50 91.64
CHEMOTHERAPY % of patients requiring chemo 70.52 70.52
# of patients requiring chemo 8140 6573
ALOS for chemo 3.64 3.64
# of chemo beds/day 81.13 65.50
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 6577 5311
# of admitted patients 1644 1328
ALOS 5 5
# of RT beds/day 22.51 18.17
ONCOLOGY BEDS Maximum # of beds/day 218 176
# of 24 bed oncology wards 10 8
ONCOLOGISTS Hematologist Oncologists 3 3
Surgical Oncologists 12 10
Radiation/Clinical Oncologists 58 47
Urologic Oncologists 3 3
Gynecologic Oncologist 2 1
Neuro-Oncologists 2 1
Pathologists 24 19
PHARMACY Onco-Pharmacists 40 32
Onco-Pharmacy Technicians 60 48
PALLIATIVE CARE Palliative Care Specialists 24 19
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 79 64
Medical Physicists 27 22
Linac Engineers 7 6
Radiation Oncology Nurses 27 22
Linacs / Co 60 Megavolt Units 14 11
# of Brachytherapy units 7 6
# CT simulators 7 6
# of treatment planning computers 7 6
# of dosimetry/QA package 7 6
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 150 120

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