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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN INDONESIA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Lung Colorectal Head & Neck Gynecological Hematological Malignancies Urological Stomach Liver Pancreas
New Cancer Cases 292629 39831 37916 33739 31436 29758 29433 21745 14537 13238 5442
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 41.74 100.00 25 70 44 56.67 0 73.75 33 5 10
Number (#) of patients needing surgery 122148 39831 9479 23617 13832 16863 0 16037 4797 662 544
Average length of stay (ALOS) for surgery 7.01 5 10 9 6.8 6.33 0 8 5 10 10
# of surgery beds/day 2345.42 545.26 259.52 581.95 257.51 292.40 0.00 351.25 65.67 18.12 14.90
CHEMOTHERAPY % of patients requiring chemo 67.12 100 50 90 66 66.67 100 62.5 66 20 50
# of patients requiring chemo 196403.81 39831 18958 30365 20748 19840 29433 13591 9594 2648 2721
ALOS for chemo 3.64 3 3 3 3.4 3 6.5 3.5 3 3 5
# of chemo beds/day 1957.32 327.15 155.71 249.41 193.13 162.95 523.79 130.23 78.80 21.75 37.25
RADIOTHERAPY % of patients requiring RT 51.98 100 90 25 71 40 32.5 41.25 50 20 50
# of patients 152093.92 39831 34124 8435 22320 11903 9566 8970 7269 2648 2721
# of admitted patients 38023.48 9958 8531 2109 5580 2976 2391 2242 1817 662 680
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 520.51 136.31 116.78 28.87 76.38 40.74 32.74 30.70 24.88 9.06 9.31
ONCOLOGY BEDS Maximum # of beds/day 4824 1009 533 861 528 497 557 513 170 49 62
# of 24 bed oncology wards 201 43 23 36 22 21 24 22 8 3 3
ONCOLOGISTS Hematologist Oncologists 59 0 0 0 0 0 59 0 0 0 0
Surgical Oncologists 255 83 20 50 29 36 0 34 10 2 2
Radiation/Clinical Oncologists 1464 200 190 169 158 149 148 109 73 67 28
Urologic Oncologists 44 0 0 0 0 0 0 44 0 0 0
Gynecologic Oncologist 60 0 0 0 0 60 0 0 0 0 0
Pathologists 586 80 76 68 63 60 59 44 30 27 11
PHARMACY Onco-Pharmacists 804 172 92 144 88 84 96 88 32 12 12
Onco-Pharmacy Technicians 1206 258 138 216 132 126 144 132 48 18 18
PALLIATIVE CARE Palliative Care Specialists 586 80 76 68 63 60 59 44 30 27 11
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 1826 478 410 102 268 143 115 108 88 32 33
Medical Physicists 609 160 137 34 90 48 39 36 30 11 11
Linac Engineers 153 40 35 9 23 12 10 9 8 3 3
Radiation Oncology Nurses 609 160 137 34 90 48 39 36 30 11 11
Linacs / Co 60 Megavolt Units 305 80 69 17 45 24 20 18 15 6 6
# of Brachytherapy units 153 40 35 9 23 12 10 9 8 3 3
# CT simulators 153 40 35 9 23 12 10 9 8 3 3
# of treatment planning computers 153 40 35 9 23 12 10 9 8 3 3
# of dosimetry/QA package 153 40 35 9 23 12 10 9 8 3 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 3015 645 345 540 330 315 360 330 120 45 45

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2010

Jakarta Surabaya
Population 9607787 2765487
New Cancer Cases 12367 3560
SURGERY % of patients needing surgery 41.74 41.74
Number (#) of patients needing surgery 5162 1486
Average length of stay (ALOS) for surgery 7.01 7.01
# of surgery beds/day 99.12 28.53
CHEMOTHERAPY % of patients requiring chemo 67.12 67.12
# of patients requiring chemo 8300 2389
ALOS for chemo 3.64 3.64
# of chemo beds/day 82.72 23.81
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 6428 1850
# of admitted patients 1607 463
ALOS 5 5
# of RT beds/day 22.00 6.33
ONCOLOGY BEDS Maximum # of beds/day 204 59
# of 24 bed oncology wards 9 3
ONCOLOGISTS Hematologist Oncologists 3 1
Surgical Oncologists 11 4
Radiation/Clinical Oncologists 62 18
Urologic Oncologists 2 1
Gynecologic Oncologist 3 1
Pathologists 25 8
PHARMACY Onco-Pharmacists 36 12
Onco-Pharmacy Technicians 54 18
PALLIATIVE CARE Palliative Care Specialists 25 8
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 78 23
Medical Physicists 26 8
Linac Engineers 7 2
Radiation Oncology Nurses 26 8
Linacs / Co 60 Megavolt Units 13 4
# of Brachytherapy units 7 2
# CT simulators 7 2
# of treatment planning computers 7 2
# of dosimetry/QA package 7 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 135 45

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