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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN MACEDONIA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Lung Breast Colorectal Gynecological
New Cancer Cases 6421 902 901 750 733 672
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 65.08 73.75 25 100.00 70 56.67
Number (#) of patients needing surgery 4179 665 225 750 513 381
Average length of stay (ALOS) for surgery 7.67 8 10 5 9 6.33
# of surgery beds/day 87.72 14.57 6.17 10.27 12.64 6.60
CHEMOTHERAPY % of patients requiring chemo 73.83 62.5 50 100 90 66.67
# of patients requiring chemo 4740.88 564 451 750 660 448
ALOS for chemo 3.10 3.5 3 3 3 3
# of chemo beds/day 40.24 5.40 3.70 6.16 5.42 3.68
RADIOTHERAPY % of patients requiring RT 59.25 41.25 90 100 25 40
# of patients 3804.44 372 811 750 183 269
# of admitted patients 951.11 93 203 188 46 67
ALOS 5.00 5 5 5 5 5
# of RT beds/day 13.02 1.27 2.78 2.57 0.63 0.92
ONCOLOGY BEDS Maximum # of beds/day 141 22 13 19 19 12
# of 24 bed oncology wards 6 1 1 1 1 1
ONCOLOGISTS Surgical Oncologists 9 2 1 2 2 1
Radiation/Clinical Oncologists 33 5 5 4 4 4
Urologic Oncologists 2 2 0 0 0 0
Gynecologic Oncologist 2 0 0 0 0 2
Pathologists 13 2 2 2 2 2
PHARMACY Onco-Pharmacists 24 4 4 4 4 4
Onco-Pharmacy Technicians 36 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 13 2 2 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 46 5 10 9 3 4
Medical Physicists 16 2 4 3 1 2
Linac Engineers 4 1 1 1 1 1
Radiation Oncology Nurses 16 2 4 3 1 2
Linacs / Co 60 Megavolt Units 8 1 2 2 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 90 15 15 15 15 15

CANCER INCIDENCE IN THE MOST POPULOUS CITY BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2010

Skopje
Population 491000
New Cancer Cases 1497
SURGERY % of patients needing surgery 65.08
Number (#) of patients needing surgery 974
Average length of stay (ALOS) for surgery 7.67
# of surgery beds/day 20.45
CHEMOTHERAPY % of patients requiring chemo 73.83
# of patients requiring chemo 1105
ALOS for chemo 3.10
# of chemo beds/day 9.38
RADIOTHERAPY % of patients requiring RT 59.25
# of patients 887
# of admitted patients 222
ALOS 5
# of RT beds/day 3.04
ONCOLOGY BEDS Maximum # of beds/day 33
# of 24 bed oncology wards 2
ONCOLOGISTS Surgical Oncologists 3
Radiation / Clinical Oncologists 8
Urologic Oncologists 1
Gynecologic Oncologist 1
Pathologists 3
PHARMACY Onco-Pharmacists 8
Onco-Pharmacy Technicians 12
PALLIATIVE CARE Palliative Care Specialists 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 11
Medical Physicists 4
Linac Engineers 1
Radiation Oncology Nurses 4
Linacs / Co 60 Megavolt Units 2
# of Brachytherapy units 1
# CT simulators 1
# of treatment planning computers 1
# of dosimetry/QA package 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 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 5 most frequently occurring cancers