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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN INDONESIA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Gynecological Lung Head and Neck Colorectal Hematological Urological Liver Stomach Pancreas
New Cancer Cases 299673 48998 37641 34696 30920 27772 26654 25542 18121 6011 5829
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 41.74 100 56.67 25 44 70 0 73.75 5 33 10
Number (#) of patients needing surgery 125089 48998 21330 8674 13605 19440 0 18837 906 1984 583
Average length of stay (ALOS) for surgery 7.01 5 6.33 10 6.8 9 0 8 10 5 10
# of surgery beds/day 2401.88 670.75 369.85 237.48 253.29 479.02 0.00 412.59 24.81 27.15 15.96
CHEMOTHERAPY % of patients requiring chemo 67.12 100 66.67 50 66 90 100 62.5 20 66 50
# of patients requiring chemo 201131.53 48998 25095 17348 20407 24995 26654 15964 3624 3967 2915
ALOS for chemo 3.64 3 3 3 3.4 3 6.5 3.5 3 3 5
# of chemo beds/day 2004.43 402.45 206.12 142.49 189.96 205.30 474.34 152.97 29.77 32.59 39.90
RADIOTHERAPY % of patients requiring RT 51.98 100 40 90 71 25 32.5 41.25 20 50 50
# of patients 155755.04 48998 15056 31226 21953 6943 8663 10536 3624 3006 2915
# of admitted patients 38938.76 12250 3764 7807 5488 1736 2166 2634 906 751 729
ALOS 5.0 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 533.04 167.69 51.53 106.87 75.13 23.76 29.65 36.06 12.40 10.29 9.97
ONCOLOGY BEDS Maximum # of beds/day 4940 1241 628 487 519 709 504 602 67 71 66
# of 24 bed oncology wards 206 52 27 21 22 30 21 26 3 3 3
ONCOLOGISTS Hematologist Oncologists 54 0 0 0 0 0 54 0 0 0 0
Surgical Oncologists 261 103 45 19 29 41 0 40 2 5 2
Radiation/Clinical Oncologists 1499 245 189 174 155 139 134 128 91 31 30
Urologic Oncologists 52 0 0 0 0 0 0 52 0 0 0
Gynecologic Oncologist 76 0 76 0 0 0 0 0 0 0 0
Pathologists 600 98 76 70 62 56 54 52 37 13 12
PHARMACY Onco-Pharmacists 824 208 108 84 88 120 84 104 12 12 12
Onco-Pharmacy Technicians 1236 312 162 126 132 180 126 156 18 18 18
PALLIATIVE CARE Palliative Care Specialists 600 98 76 70 62 56 54 52 37 13 12
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 1870 588 181 375 264 84 104 127 44 37 35
Medical Physicists 624 196 61 125 88 28 35 43 15 13 12
Linac Engineers 156 49 16 32 22 7 9 11 4 4 3
Radiation Oncology Nurses 624 196 61 125 88 28 35 43 15 13 12
Linacs / Co 60 Megavolt Units 312 98 31 63 44 14 18 22 8 7 6
# of Brachytherapy units 156 49 16 32 22 7 9 11 4 4 3
# CT simulators 156 49 16 32 22 7 9 11 4 4 3
# of treatment planning computers 156 49 16 32 22 7 9 11 4 4 3
# of dosimetry/QA package 156 49 16 32 22 7 9 11 4 4 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 3090 780 405 315 330 450 315 390 45 45 45

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2010

Jakarta Surabaya
Population 9607787 2765487
New Cancer Cases 11763 3386
SURGERY % of patients needing surgery 41.74 41.74
Number (#) of patients needing surgery 4910 1413
Average length of stay (ALOS) for surgery 7.01 7.01
# of surgery beds/day 94.28 27.14
CHEMOTHERAPY % of patients requiring chemo 67.12 67.12
# of patients requiring chemo 7895 2273
ALOS for chemo 3.64 3.64
# of chemo beds/day 78.68 22.65
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 6114 1760
# of admitted patients 1528 440
ALOS 5 5
# of RT beds/day 20.92 6.02
ONCOLOGY BEDS Maximum # of beds/day 194 56
# of 24 bed oncology wards 9 3
ONCOLOGISTS Hematologist Oncologists 3 1
Surgical Oncologists 11 3
Radiation/Clinical Oncologists 59 17
Urologic Oncologists 3 1
Gynecologic Oncologist 3 1
Pathologists 24 7
PHARMACY Onco-Pharmacists 36 12
Onco-Pharmacy Technicians 54 18
PALLIATIVE CARE Palliative Care Specialists 24 7
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 74 22
Medical Physicists 25 8
Linac Engineers 7 2
Radiation Oncology Nurses 25 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, 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