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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN LAO PEOPLE’S DEMOCRATIC REPUBLIC (LAOS)

Cancer All cancers
excl. non-melanoma
skin cancer
Liver Lung Gynecological Breast Hematological
New Cancer Cases 6147 2116 543 519 472 448
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 47.78 5 25 56.67 100 0
Number (#) of patients needing surgery 2937 106 136 294 472 0
Average length of stay (ALOS) for surgery 6.72 10 10 6.33 5 0
# of surgery beds/day 54.05 2.90 3.72 5.10 6.46 0.00
CHEMOTHERAPY % of patients requiring chemo 72.78 20 50 66.67 100 100
# of patients requiring chemo 4473.68 423 272 346 472 448
ALOS for chemo 3.58 3 3 3 3 6.5
# of chemo beds/day 43.89 3.48 2.23 2.84 3.88 7.97
RADIOTHERAPY % of patients requiring RT 63.75 20 90 40 100 32.5
# of patients 3918.71 423 489 208 472 146
# of admitted patients 979.68 106 122 52 118 36
ALOS 5.00 5 5 5 5 5
# of RT beds/day 13.41 1.45 1.67 0.71 1.62 0.50
ONCOLOGY BEDS Maximum # of beds/day 112 8 8 9 12 9
# of 24 bed oncology wards 5 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 1 0 0 0 0 1
Surgical Oncologists 7 1 1 1 1 0
Radiation/Clinical Oncologists 31 11 3 3 3 3
Gynecologic Oncologist 2 0 0 2 0 0
Pathologists 13 5 2 2 1 1
PHARMACY Onco-Pharmacists 20 4 4 4 4 4
Onco-Pharmacy Technicians 30 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 13 5 2 2 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 48 6 6 3 6 2
Medical Physicists 16 2 2 1 2 1
Linac Engineers 4 1 1 1 1 1
Radiation Oncology Nurses 16 2 2 1 2 1
Linacs / Co 60 Megavolt Units 8 1 1 1 1 1
# of Brachytherapy units 4 1 1 1 1 1
# CT simulators 4 1 1 1 1 1
# of treatment planning computers 4 1 1 1 1 1
# of dosimetry/QA package 4 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 75 15 15 15 15 15

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 5 cancers