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U.S. National Institutes of Health
Last Updated: 01/15/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN KAZAKHSTAN

Cancer All cancers
excl. non-melanoma
skin cancer
Lung Breast Gynecological Stomach Colorectal Urological Esophagus Hematological Malignancies Head & Neck Pancreas
New Cancer Cases 30701 3803 3422 3388 3316 2905 2092 1666 1526 1440 1184
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 43.24 25 100.00 56.67 33 70 73.75 20 0 44 10
Number (#) of patients needing surgery 13276 951 3422 1920 1094 2034 1543 333 0 634 118
Average length of stay (ALOS) for surgery 6.91 10 5 6.33 5 9 8 9 0 6.8 10
# of surgery beds/day 251.28 26.03 46.84 33.29 14.98 50.11 33.79 8.21 0.00 11.80 3.24
CHEMOTHERAPY % of patients requiring chemo 74.12 50 100 66.67 66 90 62.5 90 100 66 50
# of patients requiring chemo 22754.66 1902 3422 2259 2189 2615 1308 1499 1526 950 592
ALOS for chemo 3.64 3 3 3 3 3 3.5 3 6.5 3.4 5
# of chemo beds/day 226.77 15.62 28.11 18.55 17.98 21.47 12.53 12.32 27.16 8.85 8.10
RADIOTHERAPY % of patients requiring RT 58.98 90 100 40 50 25 41.25 90 32.5 71 50
# of patients 18105.91 3423 3422 1355 1658 726 863 1499 496 1022 592
# of admitted patients 4526.48 856 856 339 415 182 216 375 124 256 148
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 61.96 11.71 11.71 4.64 5.67 2.49 2.95 5.13 1.70 3.50 2.03
ONCOLOGY BEDS Maximum # of beds/day 541 54 87 57 39 75 50 26 29 25 14
# of 24 bed oncology wards 23 3 4 3 2 4 3 2 2 2 1
ONCOLOGISTS Hematologist Oncologists 4 0 0 0 0 0 0 0 4 0 0
Surgical Oncologists 28 2 8 4 3 5 4 1 0 2 1
Radiation/Clinical Oncologists 154 20 18 17 17 15 11 9 8 8 6
Urologic Oncologists 5 0 0 0 0 0 5 0 0 0 0
Gynecologic Oncologist 7 0 0 7 0 0 0 0 0 0 0
Pathologists 62 8 7 7 7 6 5 4 4 3 3
PHARMACY Onco-Pharmacists 92 12 16 12 8 16 12 8 8 8 4
Onco-Pharmacy Technicians 138 18 24 18 12 24 18 12 12 12 6
PALLIATIVE CARE Palliative Care Specialists 62 8 7 7 7 6 5 4 4 3 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 218 42 42 17 20 9 11 18 6 13 8
Medical Physicists 73 14 14 6 7 3 4 6 2 5 3
Linac Engineers 19 4 4 2 2 1 1 2 1 2 1
Radiation Oncology Nurses 73 14 14 6 7 3 4 6 2 5 3
Linacs / Co 60 Megavolt Units 37 7 7 3 4 2 2 3 1 3 2
# of Brachytherapy units 19 4 4 2 2 1 1 2 1 2 1
# CT simulators 19 4 4 2 2 1 1 2 1 2 1
# of treatment planning computers 19 4 4 2 2 1 1 2 1 2 1
# of dosimetry/QA package 19 4 4 2 2 1 1 2 1 2 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 345 45 60 45 30 60 45 30 30 30 15

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2012

Almaty Astana
Population 1450327 742918
New Cancer Cases 2869 1470
SURGERY % of patients needing surgery 43.24 43.24
Number (#) of patients needing surgery 1241 636
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 23.48 12.03
CHEMOTHERAPY % of patients requiring chemo 74.12 74.12
# of patients requiring chemo 2126 1090
ALOS for chemo 3.64 3.64
# of chemo beds/day 21.19 10.86
RADIOTHERAPY % of patients requiring RT 58.98 58.98
# of patients 1692 867
# of admitted patients 423 217
ALOS 5 5
# of RT beds/day 5.79 2.97
ONCOLOGY BEDS Maximum # of beds/day 51 26
# of 24 bed oncology wards 3 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 3 2
Radiation/Clinical Oncologists 15 8
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 6 3
PHARMACY Onco-Pharmacists 12 8
Onco-Pharmacy Technicians 18 12
PALLIATIVE CARE Palliative Care Specialists 6 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 21 11
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 Oncology 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 + 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
  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, nervous system 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 = 15*number of 24 bed oncology wards (1 head nurse + 1 nurse specialist + 13 nurses for each 24 bed oncology ward).
  21. 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 10 most frequently occurring cancers