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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN MALI

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Stomach Breast Liver Urological
New Cancer Cases 8146 1786 1177 934 885 846
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 53.68 56.67 33 100.00 5 73.75
Number (#) of patients needing surgery 4373 1012 388 934 44 624
Average length of stay (ALOS) for surgery 6.87 6.33 5 5 10 8
# of surgery beds/day 82.21 17.55 5.32 12.79 1.21 13.67
CHEMOTHERAPY % of patients requiring chemo 63.03 66.67 66 100 20 62.5
# of patients requiring chemo 5134.75 1191 777 934 177 529
ALOS for chemo 3.10 3 3 3 3 3.5
# of chemo beds/day 43.58 9.78 6.38 7.67 1.45 5.07
RADIOTHERAPY % of patients requiring RT 50.25 40 50 100 20 41.25
# of patients 4093.37 714 589 934 177 349
# of admitted patients 1023.34 179 147 234 44 87
ALOS 5.00 5 5 5 5 5
# of RT beds/day 14.01 2.44 2.01 3.20 0.61 1.19
ONCOLOGY BEDS Maximum # of beds/day 140 30 14 24 4 20
# of 24 bed oncology wards 6 2 1 1 1 1
ONCOLOGISTS Surgical Oncologists 10 3 1 2 1 2
Radiation / Clinical Oncologists 41 9 6 5 5 5
Urologic Oncologists 2 0 0 0 0 2
Gynecologic Oncologist 4 4 0 0 0 0
Pathologists 17 4 3 2 2 2
PHARMACY Onco-Pharmacists 24 8 4 4 4 4
Onco-Pharmacy Technicians 36 12 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 17 4 3 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 50 9 8 12 3 5
Medical Physicists 17 3 3 4 1 2
Linac Engineers 5 1 1 1 1 1
Radiation Oncology Nurses 17 3 3 4 1 2
Linacs / Co 60 Megavolt Units 9 2 2 2 1 1
# of Brachytherapy units 5 1 1 1 1 1
# CT simulators 5 1 1 1 1 1
# of treatment planning computers 5 1 1 1 1 1
# of dosimetry/QA package 5 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 90 30 15 15 15 15

CANCER INCIDENCE IN MOST POPULOUS CITY BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2009

Bamako
Population 1809106
New Cancer Cases 1160
SURGERY % of patients needing surgery 53.68
Number (#) of patients needing surgery 623
Average length of stay (ALOS) for surgery 6.87
# of surgery beds/day 11.71
CHEMOTHERAPY % of patients requiring chemo 63.03
# of patients requiring chemo 731
ALOS for chemo 3.10
# of chemo beds/day 6.21
RADIOTHERAPY % of patients requiring RT 50.25
# of patients 583
# of admitted patients 146
ALOS 5
# of RT beds/day 1.99
ONCOLOGY BEDS Maximum # of beds/day 20
# of 24 bed oncology wards 1
ONCOLOGISTS Surgical Oncologists 2
Radiation / Clinical Oncologists 6
Urologic Oncologists 1
Gynecologic Oncologist 1
Pathologists 3
PHARMACY Onco-Pharmacists 4
Onco-Pharmacy Technicians 6
PALLIATIVE CARE Palliative Care Specialists 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 7
Medical Physicists 3
Linac Engineers 1
Radiation Oncology Nurses 3
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 15

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 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 Malignancies 0 0 100 5 40 5
Leukaemia Hematological Malignancies 0 0 100 7 20 5
Multiple myeloma Hematological Malignancies 0 0 100 7 20 5
Non-Hodgkin lymphoma Hematological Malignancies 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