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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN INDIA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Head and Neck Breast Hematological Lung Colorectal Stomach Urological Esophagus Liver
New Cancer Cases 1014934 162003 158991 144937 71659 70275 64332 63097 48324 41774 27416
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 42.74 56.67 44 100 0 25 70 33 73.75 20 5
Number (#) of patients needing surgery 433800 91802 69956 144937 0 17569 45032 20822 35639 8355 1371
Average length of stay (ALOS) for surgery 6.91 6.33 6.8 5 0 10 9 5 8 9 10
# of surgery beds/day 8210.82 1591.82 1302.40 1984.08 0.00 481.01 1109.63 285.04 780.59 205.87 37.53
CHEMOTHERAPY % of patients requiring chemo 71.12 66.67 66 100 100 50 90 66 62.5 90 20
# of patients requiring chemo 721790.61 108007 104934 144937 71659 35138 57899 41644 30203 37597 5483
ALOS for chemo 3.44 3 3.4 3 6.5 3 3 3 3.5 3 3
# of chemo beds/day 6797.97 887.12 976.80 1190.45 1275.25 288.60 475.55 342.05 289.41 308.80 45.04
RADIOTHERAPY % of patients requiring RT 55.98 40 71 100 32.5 90 25 50 41.25 90 20
# of patients 568109.31 64801 112884 144937 23289 63248 16083 31549 19934 37597 5483
# of admitted patients 142027.33 16200 28221 36234 5822 15812 4021 7887 4983 9399 1371
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 1944.25 221.77 386.32 496.02 79.70 216.45 55.04 107.97 68.22 128.67 18.77
ONCOLOGY BEDS Maximum # of beds/day 16954 2701 2666 3671 1355 987 1641 736 1139 644 102
# of 24 bed oncology wards 707 113 112 153 57 42 69 31 48 27 5
ONCOLOGISTS Hematologist Oncologists 144 0 0 0 144 0 0 0 0 0 0
Surgical Oncologists 904 192 146 302 0 37 94 44 75 18 3
Radiation/Clinical Oncologists 5075 811 795 725 359 352 322 316 242 209 138
Urologic Oncologists 97 0 0 0 0 0 0 0 97 0 0
Gynecologic Oncologist 325 325 0 0 0 0 0 0 0 0 0
Pathologists 2030 325 318 290 144 141 129 127 97 84 55
PHARMACY Onco-Pharmacists 2828 452 448 612 228 168 276 124 192 108 20
Onco-Pharmacy Technicians 4242 678 672 918 342 252 414 186 288 162 30
PALLIATIVE CARE Palliative Care Specialists 2030 325 318 290 144 141 129 127 97 84 55
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 6818 778 1355 1740 280 759 193 379 240 452 66
Medical Physicists 2273 260 452 580 94 253 65 127 80 151 22
Linac Engineers 569 65 113 145 24 64 17 32 20 38 6
Radiation Oncology Nurses 2273 260 452 580 94 253 65 127 80 151 22
Linacs / Co 60 Megavolt Units 1137 130 226 290 47 127 33 64 40 76 11
# of Brachytherapy units 569 65 113 145 24 64 17 32 20 38 6
# CT simulators 569 65 113 145 24 64 17 32 20 38 6
# of treatment planning computers 569 65 113 145 24 64 17 32 20 38 6
# of dosimetry/QA package 569 65 113 145 24 64 17 32 20 38 6
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 10605 1695 1680 2295 855 630 1035 465 720 405 75

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2011

Mumbai Delhi
Population 18394912 16349831
New Cancer Cases 14837 13188
SURGERY % of patients needing surgery 42.74 42.74
Number (#) of patients needing surgery 6342 5637
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 120.03 106.69
CHEMOTHERAPY % of patients requiring chemo 71.12 71.12
# of patients requiring chemo 10552 9379
ALOS for chemo 3.44 3.44
# of chemo beds/day 99.38 88.33
RADIOTHERAPY % of patients requiring RT 55.98 55.98
# of patients 8305 7382
# of admitted patients 2076 1845
ALOS 5 5
# of RT beds/day 28.42 25.26
ONCOLOGY BEDS Maximum # of beds/day 248 221
# of 24 bed oncology wards 11 10
ONCOLOGISTS Hematologist Oncologists 3 2
Surgical Oncologists 14 12
Radiation/Clinical Oncologists 75 66
Urologic Oncologists 2 2
Gynecologic Oncologist 5 5
Pathologists 30 27
PHARMACY Onco-Pharmacists 44 40
Onco-Pharmacy Technicians 66 60
PALLIATIVE CARE Palliative Care Specialists 30 27
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 100 89
Medical Physicists 34 30
Linac Engineers 9 8
Radiation Oncology Nurses 34 30
Linacs / Co 60 Megavolt Units 17 15
# of Brachytherapy units 9 8
# CT simulators 9 8
# of treatment planning computers 9 8
# of dosimetry/QA package 9 8
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 165 150

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