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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN INDIA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Head & Neck Breast Hematological Malignancies Lung Esophagus Urological Colorectal Stomach Brain, nervous system
New Cancer Cases 948858 171272 154381 115251 71185 58567 48099 42206 36476 35059 21835
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 52.24 56.67 44 100.00 0 25 20 73.75 70 33 100
Number (#) of patients needing surgery 495699 97054 67928 115251 0 14642 9620 31127 25533 11569 21835
Average length of stay (ALOS) for surgery 6.81 6.33 6.8 5 0 10 9 8 9 5 9
# of surgery beds/day 9246.72 1682.89 1264.64 1577.70 0.00 400.87 237.04 681.77 629.15 158.38 538.03
CHEMOTHERAPY % of patients requiring chemo 79.12 66.67 66 100 100 50 90 62.5 90 66 100
# of patients requiring chemo 750707.98 114187 101891 115251 71185 29284 43289 26379 32828 23139 21835
ALOS for chemo 3.44 3 3.4 3 6.5 3 3 3.5 3 3 3
# of chemo beds/day 7070.32 937.88 948.48 946.62 1266.81 240.52 355.56 252.77 269.64 190.05 179.34
RADIOTHERAPY % of patients requiring RT 63.98 40 71 100 32.5 90 90 41.25 25 50 100
# of patients 607031.91 68509 109611 115251 23135 52710 43289 17410 9119 17530 21835
# of admitted patients 151757.98 17127 27403 28813 5784 13178 10822 4352 2280 4382 5459
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 2077.45 234.46 375.12 394.43 79.18 180.39 148.15 59.58 31.21 59.99 74.73
ONCOLOGY BEDS Maximum # of beds/day 18395 2856 2589 2919 1346 822 741 995 931 409 793
# of 24 bed oncology wards 767 119 108 122 57 35 31 42 39 18 34
ONCOLOGISTS Hematologist Oncologists 143 0 0 0 143 0 0 0 0 0 0
Surgical Oncologists 1033 203 142 241 0 31 21 65 54 25 46
Radiation/Clinical Oncologists 4745 857 772 577 356 293 241 212 183 176 110
Urologic Oncologists 85 0 0 0 0 0 0 85 0 0 0
Gynecologic Oncologist 343 343 0 0 0 0 0 0 0 0 0
Neuro-Oncologists 44 0 0 0 0 0 0 0 0 0 44
Pathologists 1898 343 309 231 143 118 97 85 73 71 44
PHARMACY Onco-Pharmacists 3068 476 432 488 228 140 124 168 156 72 136
Onco-Pharmacy Technicians 4602 714 648 732 342 210 186 252 234 108 204
PALLIATIVE CARE Palliative Care Specialists 1898 343 309 231 143 118 97 85 73 71 44
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 7285 823 1316 1384 278 633 520 209 110 211 263
Medical Physicists 2429 275 439 462 93 211 174 70 37 71 88
Linac Engineers 608 69 110 116 24 53 44 18 10 18 22
Radiation Oncology Nurses 2429 275 439 462 93 211 174 70 37 71 88
Linacs / Co 60 Megavolt Units 1215 138 220 231 47 106 87 35 19 36 44
# of Brachytherapy units 608 69 110 116 24 53 44 18 10 18 22
# CT simulators 608 69 110 116 24 53 44 18 10 18 22
# of treatment planning computers 608 69 110 116 24 53 44 18 10 18 22
# of dosimetry/QA package 608 69 110 116 24 53 44 18 10 18 22
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 11505 1785 1620 1830 855 525 465 630 585 270 510

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2011

Mumbai Delhi
Population 14790 13104
New Cancer Cases 8241 5494
SURGERY % of patients needing surgery 52.24 52.24
Number (#) of patients needing surgery 4305 2870
Average length of stay (ALOS) for surgery 6.81 6.81
# of surgery beds/day 80.31 53.54
CHEMOTHERAPY % of patients requiring chemo 79.12 79.12
# of patients requiring chemo 6520 4346
ALOS for chemo 3.44 3.44
# of chemo beds/day 61.40 40.94
RADIOTHERAPY % of patients requiring RT 63.98 63.98
# of patients 5272 3515
# of admitted patients 1318 879
ALOS 5 5
# of RT beds/day 18.04 12.03
ONCOLOGY BEDS Maximum # of beds/day 160 107
# of 24 bed oncology wards 7 5
ONCOLOGISTS Hematologist Oncologists 2 1
Surgical Oncologists 9 6
Radiation/Clinical Oncologists 42 28
Urologic Oncologists 1 1
Gynecologic Oncologist 3 2
Neuro-Oncologists 1 1
Pathologists 17 11
PHARMACY Onco-Pharmacists 28 20
Onco-Pharmacy Technicians 42 30
PALLIATIVE CARE Palliative Care Specialists 17 11
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 64 43
Medical Physicists 22 15
Linac Engineers 6 4
Radiation Oncology Nurses 22 15
Linacs / Co 60 Megavolt Units 11 8
# of Brachytherapy units 6 4
# CT simulators 6 4
# of treatment planning computers 6 4
# of dosimetry/QA package 6 4
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 105 75

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
  4. Number of Radiation Oncologists = (5/1000)*total number of cancer cases
  5. Number of Surgical oncologists = (number of surgeries)/480. This is based on 2 surgeries per day, 5 days a week for 48 weeks)
  6. Number of GYN-oncologists = (2/1000)*GYN cancer cases
  7. Number of Urologic Oncologists = (2/1000)* urological cancer cases
  8. Number of Neuro-Oncologists = (2/1000)* brain, nervous system cancer cases
  9. Number of pathologist = (2/1000)*total number of cancer cases
  10. Number of Pharmacists = 4* number of 24 bed oncology wards
  11. Number of Pharmacy Technicians = 6 * number of 24 bed oncology wards
  12. 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
  13. Number of Radiation Technicians = (12/1000) * number of patients requiring radiation therapy
  14. Number of Linac Engineers = (1/1000) * number of patients requiring radiation therapy
  15. Number of Radiation Therapy nurses = (4/1000) * number of patients requiring radiation therapy
  16. Number of Linacs = (2/1000) * number of patients requiring radiation therapy
  17. Number of Brachy therapy units/CT simulators/treatment planning computers/ dosimetry/QA package = (1/1000) * number of patients requiring radiation therapy
  18. Number of nurses = 15*number of 24 bed oncology wards (1 head nurse + 1 nurse specialist + 13 nurses for each 24 bed oncology ward).
  19. 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