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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN LATVIA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Lung Colorectal Breast Gynecological Stomach Hematological Head and Neck Pancreas Brain, nervous system
New Cancer Cases 10347 2413 1183 1152 1145 982 640 567 526 371 256
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 73.75 25 70 100 56.67 33 0 44 10 100
Number (#) of patients needing surgery 5302 1780 296 806 1145 556 211 0 231 37 256
Average length of stay (ALOS) for surgery 6.91 8 10 9 5 6.33 5 0 6.8 10 9
# of surgery beds/day 100.35 38.98 8.10 19.87 15.67 9.65 2.89 0.00 4.31 1.02 6.31
CHEMOTHERAPY % of patients requiring chemo 75.12 62.5 50 90 100 66.67 66 100 66 50 100
# of patients requiring chemo 7772.36 1508 592 1037 1145 655 422 567 347 186 256
ALOS for chemo 3.64 3.5 3 3 3 3 3 6.5 3.4 5 3
# of chemo beds/day 77.46 14.45 4.86 8.52 9.40 5.38 3.47 10.09 3.23 2.54 2.10
RADIOTHERAPY % of patients requiring RT 59.98 41.25 90 25 100 40 50 32.5 71 50 100
# of patients 6205.61 995 1065 288 1145 393 320 184 373 186 256
# of admitted patients 1551.40 249 266 72 286 98 80 46 93 46 64
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 21.24 3.41 3.64 0.99 3.92 1.34 1.10 0.63 1.28 0.63 0.88
ONCOLOGY BEDS Maximum # of beds/day 200 57 17 30 29 17 8 11 9 5 10
# of 24 bed oncology wards 9 3 1 2 2 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 0 0 0 2 0 0 0
Surgical Oncologists 12 4 1 2 3 2 1 0 1 1 1
Radiation/Clinical Oncologists 52 13 6 6 6 5 4 3 3 2 2
Urologic Oncologists 5 5 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 2 0 0 0 0 2 0 0 0 0 0
Neuro-Oncologists 1 0 0 0 0 0 0 0 0 0 1
Pathologists 21 5 3 3 3 2 2 2 2 1 1
PHARMACY Onco-Pharmacists 36 12 4 8 8 4 4 4 4 4 4
Onco-Pharmacy Technicians 54 18 6 12 12 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 21 5 3 3 3 2 2 2 2 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 75 12 13 4 14 5 4 3 5 3 4
Medical Physicists 25 4 5 2 5 2 2 1 2 1 2
Linac Engineers 7 1 2 1 2 1 1 1 1 1 1
Radiation Oncology Nurses 25 4 5 2 5 2 2 1 2 1 2
Linacs / Co 60 Megavolt Units 13 2 3 1 3 1 1 1 1 1 1
# of Brachytherapy units 7 1 2 1 2 1 1 1 1 1 1
# CT simulators 7 1 2 1 2 1 1 1 1 1 1
# of treatment planning computers 7 1 2 1 2 1 1 1 1 1 1
# of dosimetry/QA package 7 1 2 1 2 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 135 45 15 30 30 15 15 15 15 15 15

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

Riga Daugavpils
Population 643368 87403
New Cancer Cases 2980 405
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 1527 208
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 28.90 3.93
CHEMOTHERAPY % of patients requiring chemo 75.12 75.12
# of patients requiring chemo 2238 304
ALOS for chemo 3.64 3.64
# of chemo beds/day 22.31 3.03
RADIOTHERAPY % of patients requiring RT 59.98 59.98
# of patients 1787 243
# of admitted patients 447 61
ALOS 5 5
# of RT beds/day 6.12 0.83
ONCOLOGY BEDS Maximum # of beds/day 58 8
# of 24 bed oncology wards 3 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 4 1
Radiation/Clinical Oncologists 15 3
Urologic Oncologists 2 1
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 6 1
PHARMACY Onco-Pharmacists 12 4
Onco-Pharmacy Technicians 18 6
PALLIATIVE CARE Palliative Care Specialists 6 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 22 3
Medical Physicists 8 1
Linac Engineers 2 1
Radiation Oncology Nurses 8 1
Linacs / Co 60 Megavolt Units 4 1
# 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 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 10 cancers