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Radiation Research Program (RRP)
Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN IRAN

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Stomach Hematological Colorectal Head and Neck Esophagus Lung Gynecological Brain, nervous system
New Cancer Cases 84829 11816 9795 9660 9224 7163 5421 5343 4888 3379 3057
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 52.24 73.75 100 33 0 70 44 20 25 56.67 100
Number (#) of patients needing surgery 44316 8714 9795 3188 0 5014 2385 1069 1222 1915 3057
Average length of stay (ALOS) for surgery 6.81 8 5 5 0 9 6.8 9 10 6.33 9
# of surgery beds/day 826.67 190.87 134.09 43.64 0.00 123.55 44.41 26.33 33.46 33.20 75.33
CHEMOTHERAPY % of patients requiring chemo 79.12 62.5 100 66 100 90 66 90 50 66.67 100
# of patients requiring chemo 67114.16 7385 9795 6376 9224 6447 3578 4809 2444 2253 3057
ALOS for chemo 3.44 3.5 3 3 6.5 3 3.4 3 3 3 3
# of chemo beds/day 632.10 70.77 80.45 52.37 164.15 52.95 33.31 39.50 20.07 18.50 25.11
RADIOTHERAPY % of patients requiring RT 63.98 41.25 100 50 32.5 25 71 90 90 40 100
# of patients 54269.35 4874 9795 4830 2998 1791 3849 4809 4399 1352 3057
# of admitted patients 13567.34 1219 2449 1208 749 448 962 1202 1100 338 764
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 185.73 16.68 33.52 16.53 10.26 6.13 13.17 16.46 15.06 4.63 10.46
ONCOLOGY BEDS Maximum # of beds/day 1645 279 249 113 175 183 91 83 69 57 111
# of 24 bed oncology wards 69 12 11 5 8 8 4 4 3 3 5
ONCOLOGISTS Hematologist Oncologists 19 0 0 0 19 0 0 0 0 0 0
Surgical Oncologists 93 19 21 7 0 11 5 3 3 4 7
Radiation/Clinical Oncologists 425 60 49 49 47 36 28 27 25 17 16
Urologic Oncologists 24 24 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 7 0 0 0 0 0 0 0 0 7 0
Neuro-Oncologists 7 0 0 0 0 0 0 0 0 0 7
Pathologists 170 24 20 20 19 15 11 11 10 7 7
PHARMACY Onco-Pharmacists 276 48 44 20 32 32 16 16 12 12 20
Onco-Pharmacy Technicians 414 72 66 30 48 48 24 24 18 18 30
PALLIATIVE CARE Palliative Care Specialists 170 24 20 20 19 15 11 11 10 7 7
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 652 59 118 58 36 22 47 58 53 17 37
Medical Physicists 218 20 40 20 12 8 16 20 18 6 13
Linac Engineers 55 5 10 5 3 2 4 5 5 2 4
Radiation Oncology Nurses 218 20 40 20 12 8 16 20 18 6 13
Linacs / Co 60 Megavolt Units 109 10 20 10 6 4 8 10 9 3 7
# of Brachytherapy units 55 5 10 5 3 2 4 5 5 2 4
# CT simulators 55 5 10 5 3 2 4 5 5 2 4
# of treatment planning computers 55 5 10 5 3 2 4 5 5 2 4
# of dosimetry/QA package 55 5 10 5 3 2 4 5 5 2 4
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1035 180 165 75 120 120 60 60 45 45 75

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

Tehran Mashhad
Population 8154051 2749374
New Cancer Cases 9149 3085
SURGERY % of patients needing surgery 52.24 52.24
Number (#) of patients needing surgery 4780 1612
Average length of stay (ALOS) for surgery 6.81 6.81
# of surgery beds/day 89.16 30.06
CHEMOTHERAPY % of patients requiring chemo 79.12 79.12
# of patients requiring chemo 7238 2441
ALOS for chemo 3.44 3.44
# of chemo beds/day 68.17 22.99
RADIOTHERAPY % of patients requiring RT 63.98 63.98
# of patients 5853 1974
# of admitted patients 1463 493
ALOS 5 5
# of RT beds/day 20.03 6.75
ONCOLOGY BEDS Maximum # of beds/day 178 60
# of 24 bed oncology wards 8 3
ONCOLOGISTS Hematologist Oncologists 3 1
Surgical Oncologists 10 4
Radiation/Clinical Oncologists 46 16
Urologic Oncologists 3 1
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 19 7
PHARMACY Onco-Pharmacists 32 12
Onco-Pharmacy Technicians 48 18
PALLIATIVE CARE Palliative Care Specialists 19 7
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 71 24
Medical Physicists 24 8
Linac Engineers 6 2
Radiation Oncology Nurses 24 8
Linacs / Co 60 Megavolt Units 12 4
# of Brachytherapy units 6 2
# CT simulators 6 2
# of treatment planning computers 6 2
# of dosimetry/QA package 6 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 120 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