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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN EGYPT

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Urological Hematological Liver Head & Neck Lung Colorectal Gynecological Brain, nervous system Stomach
New Cancer Cases 68805 12621 11035 10380 5511 4490 3423 2920 2605 2323 1433
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 100.00 73.75 0 5 44 25 70 56.67 100 33
Number (#) of patients needing surgery 34913 12621 8138 0 276 1976 856 2044 1476 2323 473
Average length of stay (ALOS) for surgery 6.91 5 8 0 10 6.8 10 9 6.33 9 5
# of surgery beds/day 660.82 172.77 178.25 0.00 7.54 36.78 23.43 50.37 25.60 57.24 6.47
CHEMOTHERAPY % of patients requiring chemo 72.12 100 62.5 100 20 66 50 90 66.67 100 66
# of patients requiring chemo 49620.10 12621 6897 10380 1102 2963 1712 2628 1737 2323 946
ALOS for chemo 3.44 3 3.5 6.5 3 3.4 3 3 3 3 3
# of chemo beds/day 467.33 103.66 66.09 184.72 9.05 27.59 14.06 21.59 14.26 19.08 7.77
RADIOTHERAPY % of patients requiring RT 56.98 100 41.25 32.5 20 71 90 25 40 100 50
# of patients 39201.65 12621 4552 3374 1102 3188 3081 730 1042 2323 717
# of admitted patients 9800.41 3155 1138 843 276 797 770 183 261 581 179
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 134.16 43.19 15.58 11.55 3.77 10.91 10.54 2.50 3.57 7.95 2.45
ONCOLOGY BEDS Maximum # of beds/day 1263 320 260 197 21 76 49 75 44 85 17
# of 24 bed oncology wards 53 14 11 9 1 4 3 4 2 4 1
ONCOLOGISTS Hematologist Oncologists 21 0 0 21 0 0 0 0 0 0 0
Surgical Oncologists 73 27 17 0 1 5 2 5 4 5 1
Radiation/Clinical Oncologists 345 64 56 52 28 23 18 15 14 12 8
Urologic Oncologists 23 0 23 0 0 0 0 0 0 0 0
Gynecologic Oncologist 6 0 0 0 0 0 0 0 6 0 0
Neuro-Oncologists 5 0 0 0 0 0 0 0 0 5 0
Pathologists 138 26 23 21 12 9 7 6 6 5 3
PHARMACY Onco-Pharmacists 212 56 44 36 4 16 12 16 8 16 4
Onco-Pharmacy Technicians 318 84 66 54 6 24 18 24 12 24 6
PALLIATIVE CARE Palliative Care Specialists 138 26 23 21 12 9 7 6 6 5 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 471 152 55 41 14 39 37 9 13 28 9
Medical Physicists 157 51 19 14 5 13 13 3 5 10 3
Linac Engineers 40 13 5 4 2 4 4 1 2 3 1
Radiation Oncology Nurses 157 51 19 14 5 13 13 3 5 10 3
Linacs / Co 60 Megavolt Units 79 26 10 7 3 7 7 2 3 5 2
# of Brachytherapy units 40 13 5 4 2 4 4 1 2 3 1
# CT simulators 40 13 5 4 2 4 4 1 2 3 1
# of treatment planning computers 40 13 5 4 2 4 4 1 2 3 1
# of dosimetry/QA package 40 13 5 4 2 4 4 1 2 3 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 795 210 165 135 15 60 45 60 30 60 15

CANCER INCIDENCE IN GOVERNORATES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2013

Cairo Giza
Population 8922949 7205122
New Cancer Cases 7531 6081
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 3821 3086
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 72.33 58.40
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 5431 4385
ALOS for chemo 3.44 3.44
# of chemo beds/day 51.15 41.30
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 4291 3465
# of admitted patients 1073 866
ALOS 5 5
# of RT beds/day 14.68 11.86
ONCOLOGY BEDS Maximum # of beds/day 139 112
# of 24 bed oncology wards 6 5
ONCOLOGISTS Hematologist Oncologists 3 2
Surgical Oncologists 8 7
Radiation / Clinical Oncologists 38 31
Urologic Oncologists 3 3
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 16 13
PHARMACY Onco-Pharmacists 24 20
Onco-Pharmacy Technicians 36 30
PALLIATIVE CARE Palliative Care Specialists 16 13
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 52 42
Medical Physicists 18 14
Linac Engineers 5 4
Radiation Oncology Nurses 18 14
Linacs / Co 60 Megavolt Units 9 7
# of Brachytherapy units 5 4
# CT simulators 5 4
# of treatment planning computers 5 4
# of dosimetry/QA package 5 4
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 90 75

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