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U.S. National Institutes of Health
Last Updated: 01/08/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN MALAYSIA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Head & Neck Colorectal Gynecological Lung Hematological Malignancies Urological Stomach Liver Brain, nervous system
New Cancer Cases 31998 4485 4031 3651 3646 3628 2817 2083 1745 1212 630
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 100.00 44 70 56.67 25 0 73.75 33 5 100
Number (#) of patients needing surgery 16236 4485 1774 2556 2066 907 0 1536 576 61 630
Average length of stay (ALOS) for surgery 6.91 5 6.8 9 6.33 10 0 8 5 10 9
# of surgery beds/day 307.32 61.40 33.02 62.97 35.83 24.83 0.00 33.65 7.88 1.66 15.52
CHEMOTHERAPY % of patients requiring chemo 72.12 100 66 90 66.67 50 100 62.5 66 20 100
# of patients requiring chemo 23076.00 4485 2660 3286 2431 1814 2817 1302 1152 242 630
ALOS for chemo 3.44 3 3.4 3 3 3 6.5 3.5 3 3 3
# of chemo beds/day 217.33 36.84 24.77 26.99 19.97 14.90 50.13 12.48 9.46 1.99 5.17
RADIOTHERAPY % of patients requiring RT 56.98 100 71 25 40 90 32.5 41.25 50 20 100
# of patients 18230.86 4485 2862 913 1458 3265 916 859 873 242 630
# of admitted patients 4557.72 1121 716 228 365 816 229 215 218 61 158
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 62.39 15.35 9.79 3.12 4.99 11.17 3.13 2.94 2.99 0.83 2.16
ONCOLOGY BEDS Maximum # of beds/day 588 114 68 94 61 51 54 50 21 5 23
# of 24 bed oncology wards 25 5 3 4 3 3 3 3 1 1 1
ONCOLOGISTS Hematologist Oncologists 6 0 0 0 0 0 6 0 0 0 0
Surgical Oncologists 34 10 4 6 5 2 0 4 2 1 2
Radiation/Clinical Oncologists 160 23 21 19 19 19 15 11 9 7 4
Urologic Oncologists 5 0 0 0 0 0 0 5 0 0 0
Gynecologic Oncologist 8 0 0 0 8 0 0 0 0 0 0
Neuro-Oncologists 2 0 0 0 0 0 0 0 0 0 2
Pathologists 64 9 9 8 8 8 6 5 4 3 2
PHARMACY Onco-Pharmacists 100 20 12 16 12 12 12 12 4 4 4
Onco-Pharmacy Technicians 150 30 18 24 18 18 18 18 6 6 6
PALLIATIVE CARE Palliative Care Specialists 64 9 9 8 8 8 6 5 4 3 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 219 54 35 11 18 40 11 11 11 3 8
Medical Physicists 73 18 12 4 6 14 4 4 4 1 3
Linac Engineers 19 5 3 1 2 4 1 1 1 1 1
Radiation Oncology Nurses 73 18 12 4 6 14 4 4 4 1 3
Linacs / Co 60 Megavolt Units 37 9 6 2 3 7 2 2 2 1 2
# of Brachytherapy units 19 5 3 1 2 4 1 1 1 1 1
# CT simulators 19 5 3 1 2 4 1 1 1 1 1
# of treatment planning computers 19 5 3 1 2 4 1 1 1 1 1
# of dosimetry/QA package 19 5 3 1 2 4 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 375 75 45 60 45 45 45 45 15 15 15

CANCER INCIDENCE IN FEDERAL STATES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2010

Selangor Johor
Population 5462141 3348283
New Cancer Cases 6470 3967
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 3283 2013
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 62.14 38.10
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 4666 2861
ALOS for chemo 3.44 3.44
# of chemo beds/day 43.95 26.94
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 3686 2260
# of admitted patients 922 565
ALOS 5 5
# of RT beds/day 12.62 7.74
ONCOLOGY BEDS Maximum # of beds/day 119 73
# of 24 bed oncology wards 5 4
ONCOLOGISTS Hematologist Oncologists 2 1
Surgical Oncologists 7 5
Radiation/Clinical Oncologists 33 20
Urologic Oncologists 2 1
Gynecologic Oncologist 2 1
Neuro-Oncologists 1 1
Pathologists 13 8
PHARMACY Onco-Pharmacists 20 16
Onco-Pharmacy Technicians 30 24
PALLIATIVE CARE Palliative Care Specialists 13 8
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 45 28
Medical Physicists 15 10
Linac Engineers 4 3
Radiation Oncology Nurses 15 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 75 60

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 top 10 cancers