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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN KAZAKHSTAN

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Gynecological Lung Colorectal Stomach Urological Head and Neck Esophagus Hematological Liver
New Cancer Cases 40419 6252 4987 4684 3879 3650 2854 2652 1684 1642 1337
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 42.74 100 56.67 25 70 33 73.75 44 20 0 5
Number (#) of patients needing surgery 17276 6252 2826 1171 2715 1205 2105 1167 337 0 67
Average length of stay (ALOS) for surgery 6.91 5 6.33 10 9 5 8 6.8 9 0 10
# of surgery beds/day 326.99 85.59 49.00 32.06 66.91 16.49 46.10 21.72 8.30 0.00 1.83
CHEMOTHERAPY % of patients requiring chemo 71.12 100 66.67 50 90 66 62.5 66 90 100 20
# of patients requiring chemo 28744.78 6252 3325 2342 3491 2409 1784 1750 1516 1642 267
ALOS for chemo 3.44 3 3 3 3 3 3.5 3.4 3 6.5 3
# of chemo beds/day 270.72 51.35 27.31 19.24 28.67 19.79 17.09 16.29 12.45 29.22 2.20
RADIOTHERAPY % of patients requiring RT 55.98 100 40 90 25 50 41.25 71 90 32.5 20
# of patients 22624.54 6252 1995 4216 970 1825 1177 1883 1516 534 267
# of admitted patients 5656.13 1563 499 1054 242 456 294 471 379 133 67
ALOS 5.0 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 77.43 21.40 6.83 14.43 3.32 6.25 4.03 6.44 5.19 1.83 0.92
ONCOLOGY BEDS Maximum # of beds/day 676 159 84 66 99 43 68 45 26 32 5
# of 24 bed oncology wards 29 7 4 3 5 2 3 2 2 2 1
ONCOLOGISTS Hematologist Oncologists 4 0 0 0 0 0 0 0 0 4 0
Surgical Oncologists 36 14 6 3 6 3 5 3 1 0 1
Radiation/Clinical Oncologists 203 32 25 24 20 19 15 14 9 9 7
Urologic Oncologists 6 0 0 0 0 0 6 0 0 0 0
Gynecologic Oncologist 10 0 10 0 0 0 0 0 0 0 0
Pathologists 81 13 10 10 8 8 6 6 4 4 3
PHARMACY Onco-Pharmacists 116 28 16 12 20 8 12 8 8 8 4
Onco-Pharmacy Technicians 174 42 24 18 30 12 18 12 12 12 6
PALLIATIVE CARE Palliative Care Specialists 81 13 10 10 8 8 6 6 4 4 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 272 76 24 51 12 22 15 23 19 7 4
Medical Physicists 91 26 8 17 4 8 5 8 7 3 2
Linac Engineers 23 7 2 5 1 2 2 2 2 1 1
Radiation Oncology Nurses 91 26 8 17 4 8 5 8 7 3 2
Linacs / Co 60 Megavolt Units 46 13 4 9 2 4 3 4 4 2 1
# of Brachytherapy units 23 7 2 5 1 2 2 2 2 1 1
# CT simulators 23 7 2 5 1 2 2 2 2 1 1
# of treatment planning computers 23 7 2 5 1 2 2 2 2 1 1
# of dosimetry/QA package 23 7 2 5 1 2 2 2 2 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 435 105 60 45 75 30 45 30 30 30 15

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2014

Almaty Astana
Population 1507737 814401
New Cancer Cases 3721 2010
SURGERY % of patients needing surgery 42.74 42.74
Number (#) of patients needing surgery 1590 859
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 30.10 16.26
CHEMOTHERAPY % of patients requiring chemo 71.12 71.12
# of patients requiring chemo 2646 1429
ALOS for chemo 3.44 3.44
# of chemo beds/day 24.92 13.46
RADIOTHERAPY % of patients requiring RT 55.98 55.98
# of patients 2083 1125
# of admitted patients 521 281
ALOS 5 5
# of RT beds/day 7.13 3.85
ONCOLOGY BEDS Maximum # of beds/day 63 34
# of 24 bed oncology wards 3 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 4 2
Radiation/Clinical Oncologists 19 11
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 8 5
PHARMACY Onco-Pharmacists 12 8
Onco-Pharmacy Technicians 18 12
PALLIATIVE CARE Palliative Care Specialists 8 5
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 25 14
Medical Physicists 9 5
Linac Engineers 3 2
Radiation Oncology Nurses 9 5
Linacs / Co 60 Megavolt Units 5 3
# of Brachytherapy units 3 2
# CT simulators 3 2
# of treatment planning computers 3 2
# of dosimetry/QA package 3 2
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, 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