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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN GUATEMALA

Cancer All cancers
excl. non-melanoma
skin cancer
Stomach Gynecological Urological Liver Hematological Malignancies Head & Neck Breast Lung Colorectum Brain, nervous system
New Cancer Cases 14155 2332 2054 1893 1368 1066 787 686 581 455 371
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 33 56.67 73.75 5 0 44 100.00 25 70 100
Number (#) of patients needing surgery 7182.48 770 1164 1396 68 0 346 686 145 319 371
Average length of stay (ALOS) for surgery 6.91 5 6.33 8 10 0 6.8 5 10 9 9
# of surgery beds/day 135.95 10.53 20.18 30.58 1.87 0.00 6.45 9.39 3.98 7.85 9.14
CHEMOTHERAPY % of patients requiring chemo 72.12 66 66.67 62.5 20 100 66 100 50 90 100
# of patients requiring chemo 10208.16 1539 1369 1183 274 1066 519 686 291 410 371
ALOS for chemo 3.44 3 3 3.5 3 6.5 3.4 3 3 3 3
# of chemo beds/day 96.14 12.64 11.25 11.34 2.25 18.97 4.84 5.63 2.39 3.36 3.05
RADIOTHERAPY % of patients requiring RT 56.98 50 40 41.25 20 32.5 71 100 90 25 100
# of patients 8064.81 1166 822 781 274 346 559 686 523 114 371
# of admitted patients 2016.20 292 205 195 68 87 140 172 131 28 93
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 27.60 3.99 2.81 2.67 0.94 1.19 1.91 2.35 1.79 0.39 1.27
ONCOLOGY BEDS Maximum # of beds/day 260 28 35 45 6 21 14 18 9 12 14
# of 24 bed oncology wards 11 2 2 2 1 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 3 0 0 0 0 3 0 0 0 0 0
Surgical Oncologists 15 2 3 3 1 0 1 2 1 1 1
Radiation/Clinical Oncologists 71 12 11 10 7 6 4 4 3 3 2
Urologic Oncologists 4 0 0 4 0 0 0 0 0 0 0
Gynecologic Oncologist 5 0 5 0 0 0 0 0 0 0 0
Neuro-Oncologists 1 0 0 0 0 0 0 0 0 0 1
Pathologists 29 5 5 4 3 3 2 2 2 1 1
PHARMACY Onco-Pharmacists 44 8 8 8 4 4 4 4 4 4 4
Onco-Pharmacy Technicians 66 12 12 12 6 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 29 5 5 4 3 3 2 2 2 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 97 14 10 10 4 5 7 9 7 2 5
Medical Physicists 33 5 4 4 2 2 3 3 3 1 2
Linac Engineers 9 2 1 1 1 1 1 1 1 1 1
Radiation Oncology Nurses 33 5 4 4 2 2 3 3 3 1 2
Linacs / Co 60 Megavolt Units 17 3 2 2 1 1 2 2 2 1 1
# of Brachytherapy units 9 2 1 1 1 1 1 1 1 1 1
# CT simulators 9 2 1 1 1 1 1 1 1 1 1
# of treatment planning computers 9 2 1 1 1 1 1 1 1 1 1
# of dosimetry/QA package 9 2 1 1 1 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 165 30 30 30 15 15 15 15 15 15 15

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

Guatemala Huehuetenango
Population 3207600 1174000
New Cancer Cases 3318 1215
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 1684 617
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 31.87 11.67
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 2393 876
ALOS for chemo 3.44 3.44
# of chemo beds/day 22.54 8.25
RADIOTHERAPY % of patients requiring RT 56.975 56.975
# of patients 1890 692
# of admitted patients 473 173
ALOS 5 5
# of RT beds/day 6.47 2.37
ONCOLOGY BEDS Maximum # of beds/day 61 23
# of 24 bed oncology wards 3 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 4 2
Radiation/Clinical Oncologists 17 7
Urologic Oncologists 1 1
Gynecologic Oncologist 2 1
Neuro-Oncologists 1 1
Pathologists 7 3
PHARMACY Onco-Pharmacists 12 4
Onco-Pharmacy Technicians 18 6
PALLIATIVE CARE Palliative Care Specialists 7 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 23 9
Medical Physicists 8 3
Linac Engineers 2 1
Radiation Oncology Nurses 8 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 + 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