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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN IRAN

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Stomach Hematological Malignancies Breast Colorectal Head & Neck Esophagus Lung Gynecological Brain, nervous system
New Cancer Cases 63406 9022 8641 8491 5692 4411 4044 3729 3527 2081 1902
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 52.24 73.75 33 0 100.00 70 44 20 25 56.67 100
Number (#) of patients needing surgery 33124 6654 2852 0 5692 3088 1779 746 882 1179 1902
Average length of stay (ALOS) for surgery 6.81 8 5 0 5 9 6.8 9 10 6.33 9
# of surgery beds/day 617.90 145.74 39.04 0.00 77.92 76.08 33.13 18.38 24.14 20.45 46.87
CHEMOTHERAPY % of patients requiring chemo 79.12 62.5 66 100 100 90 66 90 50 66.67 100
# of patients requiring chemo 50164.93 5639 5703 8491 5692 3970 2669 3356 1764 1387 1902
ALOS for chemo 3.44 3.5 3 6.5 3 3 3.4 3 3 3 3
# of chemo beds/day 472.46 54.03 46.84 151.11 46.75 32.61 24.85 27.57 14.48 11.40 15.62
RADIOTHERAPY % of patients requiring RT 63.98 41.25 50 32.5 100 25 71 90 90 40 100
# of patients 40563.99 3722 4321 2760 5692 1103 2871 3356 3174 832 1902
# of admitted patients 10141.00 930 1080 690 1423 276 718 839 794 208 476
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 138.82 12.74 14.79 9.44 19.48 3.77 9.83 11.49 10.86 2.85 6.51
ONCOLOGY BEDS Maximum # of beds/day 1230 213 101 161 145 113 68 58 50 35 69
# of 24 bed oncology wards 52 9 5 7 7 5 3 3 3 2 3
ONCOLOGISTS Hematologist Oncologists 17 0 0 17 0 0 0 0 0 0 0
Surgical Oncologists 70 14 6 0 12 7 4 2 2 3 4
Radiation/Clinical Oncologists 318 46 44 43 29 23 21 19 18 11 10
Urologic Oncologists 19 19 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 5 0 0 0 0 0 0 0 0 5 0
Neuro-Oncologists 4 0 0 0 0 0 0 0 0 0 4
Pathologists 127 19 18 17 12 9 9 8 8 5 4
PHARMACY Onco-Pharmacists 208 36 20 28 28 20 12 12 12 8 12
Onco-Pharmacy Technicians 312 54 30 42 42 30 18 18 18 12 18
PALLIATIVE CARE Palliative Care Specialists 127 19 18 17 12 9 9 8 8 5 4
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 487 45 52 34 69 14 35 41 39 10 23
Medical Physicists 163 15 18 12 23 5 12 14 13 4 8
Linac Engineers 41 4 5 3 6 2 3 4 4 1 2
Radiation Oncology Nurses 163 15 18 12 23 5 12 14 13 4 8
Linacs / Co 60 Megavolt Units 82 8 9 6 12 3 6 7 7 2 4
# of Brachytherapy units 41 4 5 3 6 2 3 4 4 1 2
# CT simulators 41 4 5 3 6 2 3 4 4 1 2
# of treatment planning computers 41 4 5 3 6 2 3 4 4 1 2
# of dosimetry/QA package 41 4 5 3 6 2 3 4 4 1 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 780 135 75 105 105 75 45 45 45 30 45

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

Tehran Khorasan-e Razavi
Population 12183391 5994402
New Cancer Cases 10538 5185
SURGERY % of patients needing surgery 52.24 52.24
Number (#) of patients needing surgery 5505 2709
Average length of stay (ALOS) for surgery 6.81 6.81
# of surgery beds/day 102.69 50.53
CHEMOTHERAPY % of patients requiring chemo 79.12 79.12
# of patients requiring chemo 8337 4102
ALOS for chemo 3.44 3.44
# of chemo beds/day 78.52 38.64
RADIOTHERAPY % of patients requiring RT 63.98 63.98
# of patients 6742 3317
# of admitted patients 1685 829
ALOS 5 5
# of RT beds/day 23.07 11.35
ONCOLOGY BEDS Maximum # of beds/day 205 101
# of 24 bed oncology wards 9 5
ONCOLOGISTS Hematologist Oncologists 3 2
Surgical Oncologists 12 6
Radiation/Clinical Oncologists 53 26
Urologic Oncologists 4 2
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 22 11
PHARMACY Onco-Pharmacists 36 20
Onco-Pharmacy Technicians 54 30
PALLIATIVE CARE Palliative Care Specialists 22 11
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 81 40
Medical Physicists 27 14
Linac Engineers 7 4
Radiation Oncology Nurses 27 14
Linacs / Co 60 Megavolt Units 14 7
# of Brachytherapy units 7 4
# CT simulators 7 4
# of treatment planning computers 7 4
# of dosimetry/QA package 7 4
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 135 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