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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN GEORGIA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Lung Gynecological Urological Stomach
New Cancer Cases 8180 1299 1151 1041 812 802
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 57.68 100.00 25 56.67 73.75 33
Number (#) of patients needing surgery 4718 1299 288 590 599 265
Average length of stay (ALOS) for surgery 6.87 5 10 6.33 8 5
# of surgery beds/day 88.71 17.78 7.88 10.23 13.12 3.62
CHEMOTHERAPY % of patients requiring chemo 69.03 100 50 66.67 62.5 66
# of patients requiring chemo 5646.98 1299 576 694 508 529
ALOS for chemo 3.10 3 3 3 3.5 3
# of chemo beds/day 47.93 10.67 4.73 5.70 4.86 4.35
RADIOTHERAPY % of patients requiring RT 64.25 100 90 40 41.25 50
# of patients 5255.65 1299 1036 416 335 401
# of admitted patients 1313.91 325 259 104 84 100
ALOS 5.00 5 5 5 5 5
# of RT beds/day 17.99 4.45 3.55 1.43 1.15 1.37
ONCOLOGY BEDS Maximum # of beds/day 155 33 17 18 20 10
# of 24 bed oncology wards 7 2 1 1 1 1
ONCOLOGISTS Surgical Oncologists 10 3 1 2 2 1
Radiation/Clinical Oncologists 41 7 6 6 5 5
Urologic Oncologists 2 0 0 0 2 0
Gynecologic Oncologist 3 0 0 3 0 0
Pathologists 17 3 3 3 2 2
PHARMACY Onco-Pharmacists 28 8 4 4 4 4
Onco-Pharmacy Technicians 42 12 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 17 3 3 3 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 64 16 13 5 5 5
Medical Physicists 22 6 5 2 2 2
Linac Engineers 6 2 2 1 1 1
Radiation Oncology Nurses 22 6 5 2 2 2
Linacs / Co 60 Megavolt Units 11 3 3 1 1 1
# of Brachytherapy units 6 2 2 1 1 1
# CT simulators 6 2 2 1 1 1
# of treatment planning computers 6 2 2 1 1 1
# of dosimetry/QA package 6 2 2 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 105 30 15 15 15 15

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2012

Samegrelo-Zemo Svateni Kakheti
Population 479500 407100
New Cancer Cases 911 774
SURGERY % of patients needing surgery 57.68 57.68
Number (#) of patients needing surgery 525 446
Average length of stay (ALOS) for surgery 6.87 6.87
# of surgery beds/day 9.88 8.39
CHEMOTHERAPY % of patients requiring chemo 69.03 69.03
# of patients requiring chemo 629 534
ALOS for chemo 3.10 3.10
# of chemo beds/day 5.34 4.53
RADIOTHERAPY % of patients requiring RT 64.25 64.25
# of patients 585 497
# of admitted patients 146 124
ALOS 5 5
# of RT beds/day 2.00 1.70
ONCOLOGY BEDS Maximum # of beds/day 18 15
# of 24 bed oncology wards 1 1
ONCOLOGISTS Surgical Oncologists 2 1
Radiation/Clinical Oncologists 5 4
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 2 2
PHARMACY Onco-Pharmacists 4 4
Onco-Pharmacy Technicians 6 6
PALLIATIVE CARE Palliative Care Specialists 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 8 6
Medical Physicists 3 2
Linac Engineers 1 1
Radiation Oncology Nurses 3 2
Linacs / Co 60 Megavolt Units 2 1
# of Brachytherapy units 1 1
# CT simulators 1 1
# of treatment planning computers 1 1
# of dosimetry/QA package 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 15 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