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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN GEORGIA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Urological Lung Gynecological Head and Neck Stomach Brain, nervous system Colorectal Hematological Liver
New Cancer Cases 12361 1541 1150 1129 985 869 711 610 605 466 439
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 100 73.75 25 56.67 44 33 100 70 0 5
Number (#) of patients needing surgery 6272 1541 848 282 558 382 235 610 424 0 22
Average length of stay (ALOS) for surgery 6.91 5 8 10 6.33 6.8 5 9 9 0 10
# of surgery beds/day 118.72 21.10 18.58 7.73 9.68 7.12 3.21 15.03 10.44 0.00 0.60
CHEMOTHERAPY % of patients requiring chemo 72.12 100 62.5 50 66.67 66 66 100 90 100 20
# of patients requiring chemo 8914.38 1541 719 565 657 574 469 610 545 466 88
ALOS for chemo 3.44 3 3.5 3 3 3.4 3 3 3 6.5 3
# of chemo beds/day 83.96 12.66 6.89 4.64 5.39 5.34 3.85 5.01 4.47 8.29 0.72
RADIOTHERAPY % of patients requiring RT 56.98 100 41.25 90 40 71 50 100 25 32.5 20
# of patients 7042.68 1541 474 1016 394 617 356 610 151 151 88
# of admitted patients 1760.67 385 119 254 99 154 89 153 38 38 22
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 24.10 5.27 1.62 3.48 1.35 2.11 1.22 2.09 0.52 0.52 0.30
ONCOLOGY BEDS Maximum # of beds/day 227 40 28 16 17 15 9 23 16 9 2
# of 24 bed oncology wards 10 2 2 1 1 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 1 0 0 0 0 0 0 0 0 1 0
Surgical Oncologists 14 4 2 1 2 1 1 2 1 0 1
Radiation/Clinical Oncologists 62 8 6 6 5 5 4 4 4 3 3
Urologic Oncologists 3 0 3 0 0 0 0 0 0 0 0
Gynecologic Oncologist 2 0 0 0 2 0 0 0 0 0 0
Neuro-Oncologists 2 0 0 0 0 0 0 2 0 0 0
Pathologists 25 4 3 3 2 2 2 2 2 1 1
PHARMACY Onco-Pharmacists 40 8 8 4 4 4 4 4 4 4 4
Onco-Pharmacy Technicians 60 12 12 6 6 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 25 4 3 3 2 2 2 2 2 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 85 19 6 13 5 8 5 8 2 2 2
Medical Physicists 29 7 2 5 2 3 2 3 1 1 1
Linac Engineers 8 2 1 2 1 1 1 1 1 1 1
Radiation Oncology Nurses 29 7 2 5 2 3 2 3 1 1 1
Linacs / Co 60 Megavolt Units 15 4 1 3 1 2 1 2 1 1 1
# of Brachytherapy units 8 2 1 2 1 1 1 1 1 1 1
# CT simulators 8 2 1 2 1 1 1 1 1 1 1
# of treatment planning computers 8 2 1 2 1 1 1 1 1 1 1
# of dosimetry/QA package 8 2 1 2 1 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 150 30 30 15 15 15 15 15 15 15 15

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2012

Tbilisi Kutaisi
Population 1172700 196800
New Cancer Cases 3368 566
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 1709 287
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 32.35 5.44
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 2429 408
ALOS for chemo 3.44 3.44
# of chemo beds/day 22.88 3.84
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 1919 322
# of admitted patients 480 81
ALOS 5 5
# of RT beds/day 6.57 1.10
ONCOLOGY BEDS Maximum # of beds/day 62 11
# of 24 bed oncology wards 3 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 4 1
Radiation/Clinical Oncologists 17 3
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 7 2
PHARMACY Onco-Pharmacists 12 4
Onco-Pharmacy Technicians 18 6
PALLIATIVE CARE Palliative Care Specialists 7 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 24 4
Medical Physicists 8 2
Linac Engineers 2 1
Radiation Oncology Nurses 8 2
Linacs / Co 60 Megavolt Units 4 1
# 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 45 15

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