Skip to Content
U.S. National Institutes of Health
Last Updated: 01/15/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN EL SALVADOR

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Stomach Urological Breast Hematological Malignancies
New Cancer Cases 7782 1547 851 701 508 478
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 52.68 56.67 33 73.75 100.00 0
Number (#) of patients needing surgery 4100 877 281 517 508 0
Average length of stay (ALOS) for surgery 4.87 6.33 5 8 5 0
# of surgery beds/day 54.63 15.20 3.84 11.32 6.95 0.00
CHEMOTHERAPY % of patients requiring chemo 79.03 66.67 66 62.5 100 100
# of patients requiring chemo 6150.43 1031 562 438 508 478
ALOS for chemo 3.80 3 3 3.5 3 6.5
# of chemo beds/day 63.99 8.47 4.61 4.20 4.17 8.51
RADIOTHERAPY % of patients requiring RT 52.75 40 50 41.25 100 32.5
# of patients 4105.01 619 426 289 508 155
# of admitted patients 1026.25 155 106 72 127 39
ALOS 5.00 5 5 5 5 5
# of RT beds/day 14.05 2.12 1.46 0.99 1.74 0.53
ONCOLOGY BEDS Maximum # of beds/day 133 26 10 17 13 10
# of 24 bed oncology wards 6 2 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 1 0 0 0 0 1
Surgical Oncologists 9 2 1 2 2 0
Radiation/Clinical Oncologists 39 8 5 4 3 3
Urologic Oncologists 2 0 0 2 0 0
Gynecologic Oncologist 4 4 0 0 0 0
Pathologists 16 4 2 2 2 1
PHARMACY Onco-Pharmacists 24 8 4 4 4 4
Onco-Pharmacy Technicians 36 12 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 16 4 2 2 2 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 50 8 6 4 7 2
Medical Physicists 17 3 2 2 3 1
Linac Engineers 5 1 1 1 1 1
Radiation Oncology Nurses 17 3 2 2 3 1
Linacs / Co 60 Megavolt Units 9 2 1 1 2 1
# of Brachytherapy units 5 1 1 1 1 1
# CT simulators 5 1 1 1 1 1
# of treatment planning computers 5 1 1 1 1 1
# of dosimetry/QA package 5 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 90 30 15 15 15 15

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

San Salvador La Libertad
Population 1706800 747500
New Cancer Cases 2166 949
SURGERY % of patients needing surgery 52.68 52.68
Number (#) of patients needing surgery 1141 500
Average length of stay (ALOS) for surgery 4.87 4.87
# of surgery beds/day 15.20 6.66
CHEMOTHERAPY % of patients requiring chemo 79.03 79.03
# of patients requiring chemo 1712 750
ALOS for chemo 3.80 3.80
# of chemo beds/day 17.81 7.80
RADIOTHERAPY % of patients requiring RT 52.75 52.75
# of patients 1143 501
# of admitted patients 286 125
ALOS 5 5
# of RT beds/day 3.91 1.71
ONCOLOGY BEDS Maximum # of beds/day 37 17
# of 24 bed oncology wards 2 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 3 2
Radiation / Clinical Oncologists 11 5
Urologic Oncologists 1 1
Gynecologic Oncologist 2 1
Pathologists 5 2
PHARMACY Onco-Pharmacists 8 4
Onco-Pharmacy Technicians 12 6
PALLIATIVE CARE Palliative Care Specialists 5 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 14 7
Medical Physicists 5 3
Linac Engineers 2 1
Radiation Oncology Nurses 5 3
Linacs / Co 60 Megavolt Units 3 2
# of Brachytherapy units 2 1
# CT simulators 2 1
# of treatment planning computers 2 1
# of dosimetry/QA package 2 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 30 15

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 5 most frequently occurring cancers