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U.S. National Institutes of Health
Last Updated: 05/30/13

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ISRAEL

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Colorectal Hematological Malignancies Lung Head & Neck Gynecological Pancreas Melanoma of skin Stomach
New Cancer Cases 25702 4809 4203 3928 3143 2152 1247 1191 937 851 820
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 73.75 100 70 0 25 44 56.67 10 100 33
Number (#) of patients needing surgery 13170.13 3547 4203 2750 0 538 549 675 94 851 271
Average length of stay (ALOS) for surgery 6.31 8 5 9 0 10 6.8 6.33 10 3 5
# of surgery beds/day 227.65 77.68 57.54 67.75 0.00 14.73 10.21 11.70 2.57 6.99 3.70
CHEMOTHERAPY % of patients requiring chemo 72.12 62.5 100 90 100 50 66 86.67 50 50 66
# of patients requiring chemo 18535.43 3006 4203 3535 3143 1076 823 1032 469 426 541
ALOS for chemo 4.09 3.5 3 3 11 3 3.4 3 5 3 3
# of chemo beds/day 207.56 28.80 34.52 29.04 94.66 8.84 7.66 8.48 6.41 3.49 4.45
RADIOTHERAPY % of patients requiring RT 55.88 41.25 100 25 32.5 100 70 40 50 50 50
# of patients 14360.99 1984 4203 982 1021 2152 873 476 469 426 410
# of admitted patients 3590.25 496 1051 246 255 538 218 119 117 106 103
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 49.15 6.79 14.38 3.36 3.50 7.36 2.99 1.63 1.60 1.46 1.40
ONCOLOGY BEDS Maximum # of beds/day 485 114 107 101 99 31 21 22 11 12 10
# of 24 bed oncology wards 21 5 5 5 5 2 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 7 0 0 0 7 0 0 0 0 0 0
Surgical Oncologists 28 8 9 6 0 2 2 2 1 2 1
Radiation/Clinical Oncologists 129 25 22 20 16 11 7 6 5 5 5
Urologic Oncologists 10 10 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 3 0 0 0 0 0 0 3 0 0 0
Pathologists 52 10 9 8 7 5 3 3 2 2 2
PHARMACY Onco-Pharmacists 84 20 20 20 20 8 4 4 4 4 4
Onco-Pharmacy Technicians 126 30 30 30 30 12 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 52 10 9 8 7 5 3 3 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 173 24 51 12 13 26 11 6 6 6 5
Medical Physicists 58 8 17 4 5 9 4 2 2 2 2
Linac Engineers 15 2 5 1 2 3 1 1 1 1 1
Radiation Oncology Nurses 58 8 17 4 5 9 4 2 2 2 2
Linacs / Co 60 Megavolt Units 29 4 9 2 3 5 2 1 1 1 1
# of Brachytherapy units 15 2 5 1 2 3 1 1 1 1 1
# CT simulators 15 2 5 1 2 3 1 1 1 1 1
# of treatment planning computers 15 2 5 1 2 3 1 1 1 1 1
# of dosimetry/QA package 15 2 5 1 2 3 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 315 75 75 75 75 30 15 15 15 15 15

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

Jerusalem Tel Aviv-Jaffa
Population 804400 404800
New Cancer Cases 2933 1476
SURGERY % of patients needing surgery 51.24 51.24
# of patients needing surgery 1503 756
ALOS for surgery 6.31 6.31
# of surgery beds/day 25.98 13.07
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 2115 1064
ALOS for chemo 4.09 4.09
# of chemo beds/day 23.69 11.92
RADIOTHERAPY % of patients requiring RT 55.875 55.875
# of patients 1639 825
# of admitted patients 410 206
ALOS 5 5
# of RT beds/day 5.61 2.82
ONCOLOGY BEDS Maximum # of beds/day 56 28
# of 24 bed oncology wards 3 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 4 2
Radiation/Clinical Oncologists 15 8
Urologic Oncologists 2 1
Gynecologic Oncologist 1 1
Pathologists 6 3
PHARMACY Onco-Pharmacists 12 8
Pharmacy Technicians 18 12
PALLIATIVE CARE Palliative Care Specialists 6 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 20 10
Medical Physicists 7 4
Linac Engineers 2 1
Radiation Oncology Nurses 7 4
Linacs / Co 60 Megavolt Units 4 2
# of Brachytherapy units 2 1
# CT simulators 2 1
# of treatment planning computers 2 1
# of dosimetry/QA package 2 1
NURSING Nursing Staff other than Radiation Oncology Nurses 45 30

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 or beds for 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 GYN-oncologists = (2/1000)*GYN cancer cases
  8. Number of Urologic Oncologists = (2/1000)* urological cancer cases
  9. Number of Neuro-Oncologists = (2/1000)* brain cancer cases
  10. Number of pathologist = (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.