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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN FYR MACEDONIA

Cancer All cancers
excl. non-melanoma
skin cancer
Lung Breast Urological Colorectal Gynecological
New Cancer Cases 7330 1268 1152 967 787 785
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 65.08 25 100 73.75 70 56.67
Number (#) of patients needing surgery 4771 317 1152 713 551 445
Average length of stay (ALOS) for surgery 7.67 10 5 8 9 6.33
# of surgery beds/day 100.14 8.68 15.77 15.62 13.57 7.71
CHEMOTHERAPY % of patients requiring chemo 73.83 50 100 62.5 90 66.67
# of patients requiring chemo 5412.03 634 1152 604 708 523
ALOS for chemo 3.10 3 3 3.5 3 3
# of chemo beds/day 45.93 5.21 9.46 5.79 5.82 4.30
RADIOTHERAPY % of patients requiring RT 59.25 90 100 41.25 25 40
# of patients 4343.03 1141 1152 399 197 314
# of admitted patients 1085.76 285 288 100 49 79
ALOS 5.00 5 5 5 5 5
# of RT beds/day 14.86 3.91 3.94 1.37 0.67 1.07
ONCOLOGY BEDS Maximum # of beds/day 161 18 30 23 21 14
# of 24 bed oncology wards 7 1 2 1 1 1
ONCOLOGISTS Surgical Oncologists 10 1 3 2 2 1
Radiation / Clinical Oncologists 37 7 6 5 4 4
Urologic Oncologists 2 0 0 2 0 0
Gynecologic Oncologist 2 0 0 0 0 2
Pathologists 15 3 3 2 2 2
PHARMACY Onco-Pharmacists 28 4 8 4 4 4
Onco-Pharmacy Technicians 42 6 12 6 6 6
PALLIATIVE CARE Palliative Care Specialists 15 3 3 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 53 14 14 5 3 4
Medical Physicists 18 5 5 2 1 2
Linac Engineers 5 2 2 1 1 1
Radiation Oncology Nurses 18 5 5 2 1 2
Linacs / Co 60 Megavolt Units 9 3 3 1 1 1
# of Brachytherapy units 5 2 2 1 1 1
# CT simulators 5 2 2 1 1 1
# of treatment planning computers 5 2 2 1 1 1
# of dosimetry/QA package 5 2 2 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 105 15 30 15 15 15

RESOURCES NEEDED IN CITIES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE 2013

Skopje Kumanovo
Population 497900 72800
New Cancer Cases 1767 259
SURGERY % of patients needing surgery 65.08 65.08
Number (#) of patients needing surgery 1150 169
Average length of stay (ALOS) for surgery 7.67 7.67
# of surgery beds/day 24.14 3.54
CHEMOTHERAPY % of patients requiring chemo 73.83 73.83
# of patients requiring chemo 1305 191
ALOS for chemo 3.10 3.10
# of chemo beds/day 11.07 1.62
RADIOTHERAPY % of patients requiring RT 59.25 59.25
# of patients 1047 153
# of admitted patients 262 38
ALOS 5 5
# of RT beds/day 3.58 0.53
ONCOLOGY BEDS Maximum # of beds/day 39 6
# of 24 bed oncology wards 2 1
ONCOLOGISTS Surgical Oncologists 3 1
Radiation / Clinical Oncologists 9 2
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 4 1
PHARMACY Onco-Pharmacists 8 4
Onco-Pharmacy Technicians 12 6
PALLIATIVE CARE Palliative Care Specialists 4 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 13 2
Medical Physicists 5 1
Linac Engineers 2 1
Radiation Oncology Nurses 5 1
Linacs / Co 60 Megavolt Units 3 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 30 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