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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN LITHUANIA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Colorectal Gynecological Lung Breast Head and Neck Hematological Stomach Pancreas Brain, nervous system
New Cancer Cases 14520 2892 1558 1556 1555 1479 1132 1039 867 480 308
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 73.75 70 56.67 25 100 44 0 33 10 100
Number (#) of patients needing surgery 7440 2133 1091 882 389 1479 498 0 286 48 308
Average length of stay (ALOS) for surgery 6.91 8 9 6.33 10 5 6.8 0 5 10 9
# of surgery beds/day 140.83 46.72 26.87 15.29 10.64 20.25 9.27 0.00 3.92 1.31 7.59
CHEMOTHERAPY % of patients requiring chemo 75.12 62.5 90 66.67 50 100 66 100 66 50 100
# of patients requiring chemo 10906.99 1808 1402 1037 778 1479 747 1039 572 240 308
ALOS for chemo 3.64 3.5 3 3 3 3 3.4 6.5 3 5 3
# of chemo beds/day 108.70 17.32 11.52 8.52 6.39 12.15 6.95 18.49 4.70 3.29 2.53
RADIOTHERAPY % of patients requiring RT 59.98 41.25 25 40 90 100 71 32.5 50 50 100
# of patients 8708.37 1193 390 622 1400 1479 804 338 434 240 308
# of admitted patients 2177.09 298 97 156 350 370 201 84 108 60 77
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 29.80 4.08 1.33 2.13 4.79 5.06 2.75 1.16 1.48 0.82 1.05
ONCOLOGY BEDS Maximum # of beds/day 280 69 40 26 22 38 19 20 11 6 12
# of 24 bed oncology wards 12 3 2 2 1 2 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 3 0 0 0 0 0 0 3 0 0 0
Surgical Oncologists 16 5 3 2 1 4 2 0 1 1 1
Radiation/Clinical Oncologists 73 15 8 8 8 8 6 6 5 3 2
Urologic Oncologists 6 6 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 4 0 0 4 0 0 0 0 0 0 0
Neuro-Oncologists 1 0 0 0 0 0 0 0 0 0 1
Pathologists 30 6 4 4 4 3 3 3 2 1 1
PHARMACY Onco-Pharmacists 48 12 8 8 4 8 4 4 4 4 4
Onco-Pharmacy Technicians 72 18 12 12 6 12 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 30 6 4 4 4 3 3 3 2 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 105 15 5 8 17 18 10 5 6 3 4
Medical Physicists 35 5 2 3 6 6 4 2 2 1 2
Linac Engineers 9 2 1 1 2 2 1 1 1 1 1
Radiation Oncology Nurses 35 5 2 3 6 6 4 2 2 1 2
Linacs / Co 60 Megavolt Units 18 3 1 2 3 3 2 1 1 1 1
# of Brachytherapy units 9 2 1 1 2 2 1 1 1 1 1
# CT simulators 9 2 1 1 2 2 1 1 1 1 1
# of treatment planning computers 9 2 1 1 2 2 1 1 1 1 1
# of dosimetry/QA package 9 2 1 1 2 2 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 180 45 30 30 15 30 15 15 15 15 15

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

Vilnius Kaunas
Population 529022 304012
New Cancer Cases 2334 1341
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 1196 687
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 22.64 13.01
CHEMOTHERAPY % of patients requiring chemo 75.12 75.12
# of patients requiring chemo 1753 1007
ALOS for chemo 3.64 3.64
# of chemo beds/day 17.47 10.04
RADIOTHERAPY % of patients requiring RT 59.98 59.98
# of patients 1400 804
# of admitted patients 350 201
ALOS 5 5
# of RT beds/day 4.79 2.75
ONCOLOGY BEDS Maximum # of beds/day 45 26
# of 24 bed oncology wards 2 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 3 2
Radiation/Clinical Oncologists 12 7
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 5 3
PHARMACY Onco-Pharmacists 8 8
Onco-Pharmacy Technicians 12 12
PALLIATIVE CARE Palliative Care Specialists 5 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 17 10
Medical Physicists 6 4
Linac Engineers 2 1
Radiation Oncology Nurses 6 4
Linacs / Co 60 Megavolt Units 3 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 30 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