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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN MALAYSIA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Colorectal Lung Head and Neck Gynecological Hematological Urological Stomach Liver Brain, nervous system
New Cancer Cases 37426 5410 4539 4403 4321 3953 2958 2822 1900 1527 786
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 100 70 25 44 56.67 0 73.75 33 5 100
Number (#) of patients needing surgery 18991 5410 3177 1101 1901 2240 0 2081 627 76 786
Average length of stay (ALOS) for surgery 6.91 5 9 10 6.8 6.33 0 8 5 10 9
# of surgery beds/day 359.45 74.06 78.29 30.14 35.40 38.84 0.00 45.58 8.58 2.09 19.37
CHEMOTHERAPY % of patients requiring chemo 72.12 100 90 50 66 66.67 100 62.5 66 20 100
# of patients requiring chemo 26990.51 5410 4085 2202 2852 2635 2958 1764 1254 305 786
ALOS for chemo 3.44 3 3 3 3.4 3 6.5 3.5 3 3 3
# of chemo beds/day 254.20 44.44 33.55 18.08 26.55 21.65 52.64 16.90 10.30 2.51 6.46
RADIOTHERAPY % of patients requiring RT 56.98 100 25 90 71 40 32.5 41.25 50 20 100
# of patients 21323.46 5410 1135 3963 3068 1581 961 1164 950 305 786
# of admitted patients 5330.87 1353 284 991 767 395 240 291 238 76 197
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 72.98 18.51 3.88 13.56 10.50 5.41 3.29 3.98 3.25 1.05 2.69
ONCOLOGY BEDS Maximum # of beds/day 687 138 116 62 73 66 56 67 23 6 29
# of 24 bed oncology wards 29 6 5 3 4 3 3 3 1 1 2
ONCOLOGISTS Hematologist Oncologists 6 0 0 0 0 0 6 0 0 0 0
Surgical Oncologists 40 12 7 3 4 5 0 5 2 1 2
Radiation/Clinical Oncologists 188 28 23 23 22 20 15 15 10 8 4
Urologic Oncologists 6 0 0 0 0 0 0 6 0 0 0
Gynecologic Oncologist 8 0 0 0 0 8 0 0 0 0 0
Neuro-Oncologists 2 0 0 0 0 0 0 0 0 0 2
Pathologists 75 11 10 9 9 8 6 6 4 4 2
PHARMACY Onco-Pharmacists 116 24 20 12 16 12 12 12 4 4 8
Onco-Pharmacy Technicians 174 36 30 18 24 18 18 18 6 6 12
PALLIATIVE CARE Palliative Care Specialists 75 11 10 9 9 8 6 6 4 4 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 256 65 14 48 37 19 12 14 12 4 10
Medical Physicists 86 22 5 16 13 7 4 5 4 2 4
Linac Engineers 22 6 2 4 4 2 1 2 1 1 1
Radiation Oncology Nurses 86 22 5 16 13 7 4 5 4 2 4
Linacs / Co 60 Megavolt Units 43 11 3 8 7 4 2 3 2 1 2
# of Brachytherapy units 22 6 2 4 4 2 1 2 1 1 1
# CT simulators 22 6 2 4 4 2 1 2 1 1 1
# of treatment planning computers 22 6 2 4 4 2 1 2 1 1 1
# of dosimetry/QA package 22 6 2 4 4 2 1 2 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 435 90 75 45 60 45 45 45 15 15 30

RESOURCES NEEDED IN STATES & TERRITORIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE 2010

Selangor Johor
Population 5462141 3348283
New Cancer Cases 6973 4274
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 3538 2169
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 66.97 41.05
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 5029 3082
ALOS for chemo 3.44 3.44
# of chemo beds/day 47.36 29.03
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 3973 2435
# of admitted patients 993 609
ALOS 5 5
# of RT beds/day 13.60 8.33
ONCOLOGY BEDS Maximum # of beds/day 128 79
# of 24 bed oncology wards 6 4
ONCOLOGISTS Hematologist Oncologists 2 1
Surgical Oncologists 8 5
Radiation/Clinical Oncologists 35 22
Urologic Oncologists 2 1
Gynecologic Oncologist 2 1
Neuro-Oncologists 1 1
Pathologists 14 9
PHARMACY Onco-Pharmacists 24 16
Onco-Pharmacy Technicians 36 24
PALLIATIVE CARE Palliative Care Specialists 14 9
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 48 30
Medical Physicists 16 10
Linac Engineers 4 3
Radiation Oncology Nurses 16 10
Linacs / Co 60 Megavolt Units 8 5
# of Brachytherapy units 4 3
# CT simulators 4 3
# of treatment planning computers 4 3
# of dosimetry/QA package 4 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 90 60

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