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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN GUATEMALA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Stomach Liver Urological Hematological Lung Breast Brain, nervous system Head and Neck Colorectal
New Cancer Cases 13271 2337 2309 1542 1236 830 647 626 481 458 428
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 56.67 33 5 73.75 0 25 100 100 44 70
Number (#) of patients needing surgery 6734 1324 762 77 912 0 162 626 481 202 300
Average length of stay (ALOS) for surgery 6.91 6.33 5 10 8 0 10 5 9 6.8 9
# of surgery beds/day 127.46 22.96 10.43 2.11 19.97 0.00 4.43 8.57 11.85 3.75 7.38
CHEMOTHERAPY % of patients requiring chemo 72.12 66.67 66 20 62.5 100 50 100 100 66 90
# of patients requiring chemo 9570.65 1558 1524 308 773 830 324 626 481 302 385
ALOS for chemo 3.44 3 3 3 3.5 6.5 3 3 3 3.4 3
# of chemo beds/day 90.14 12.80 12.52 2.53 7.40 14.77 2.66 5.14 3.95 2.81 3.16
RADIOTHERAPY % of patients requiring RT 56.98 40 50 20 41.25 32.5 90 100 100 71 25
# of patients 7561.15 935 1155 308 510 270 582 626 481 325 107
# of admitted patients 1890.29 234 289 77 127 67 146 157 120 81 27
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 25.88 3.20 3.95 1.06 1.74 0.92 1.99 2.14 1.65 1.11 0.37
ONCOLOGY BEDS Maximum # of beds/day 244 39 27 6 30 16 10 16 18 8 11
# of 24 bed oncology wards 11 2 2 1 2 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 0 2 0 0 0 0 0
Surgical Oncologists 15 3 2 1 2 0 1 2 2 1 1
Radiation/Clinical Oncologists 67 12 12 8 7 5 4 4 3 3 3
Urologic Oncologists 3 0 0 0 3 0 0 0 0 0 0
Gynecologic Oncologist 5 5 0 0 0 0 0 0 0 0 0
Neuro-Oncologists 1 0 0 0 0 0 0 0 1 0 0
Pathologists 27 5 5 4 3 2 2 2 1 1 1
PHARMACY Onco-Pharmacists 44 8 8 4 8 4 4 4 4 4 4
Onco-Pharmacy Technicians 66 12 12 6 12 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 27 5 5 4 3 2 2 2 1 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 91 12 14 4 7 4 7 8 6 4 2
Medical Physicists 31 4 5 2 3 2 3 3 2 2 1
Linac Engineers 8 1 2 1 1 1 1 1 1 1 1
Radiation Oncology Nurses 31 4 5 2 3 2 3 3 2 2 1
Linacs / Co 60 Megavolt Units 16 2 3 1 2 1 2 2 1 1 1
# of Brachytherapy units 8 1 2 1 1 1 1 1 1 1 1
# CT simulators 8 1 2 1 1 1 1 1 1 1 1
# of treatment planning computers 8 1 2 1 1 1 1 1 1 1 1
# of dosimetry/QA package 8 1 2 1 1 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 165 30 30 15 30 15 15 15 15 15 15

RESOURCES NEEDED IN DEPARTMENTS BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2012

Guatemala (department) Huehuetenango
Population 3207600 1174000
New Cancer Cases 2813 1030
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 1427 523
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 27.02 9.89
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 2029 743
ALOS for chemo 3.44 3.44
# of chemo beds/day 19.11 7.00
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 1603 587
# of admitted patients 401 147
ALOS 5 5
# of RT beds/day 5.48 2.01
ONCOLOGY BEDS Maximum # of beds/day 52 19
# of 24 bed oncology wards 3 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 3 2
Radiation/Clinical Oncologists 15 6
Urologic Oncologists 1 1
Gynecologic Oncologist 2 1
Neuro-Oncologists 1 1
Pathologists 6 3
PHARMACY Onco-Pharmacists 12 4
Onco-Pharmacy Technicians 18 6
PALLIATIVE CARE Palliative Care Specialists 6 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 20 8
Medical Physicists 7 3
Linac Engineers 2 1
Radiation Oncology Nurses 7 3
Linacs / Co 60 Megavolt Units 4 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 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