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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN MEXICO

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Gynecological Breast Hematological Malignancies Lung Head & Neck Stomach Colorectal Liver Pancreas
New Cancer Cases 127604 23371 15702 13939 12495 9148 7906 7859 6347 6178 4129
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 41.74 73.75 56.67 100.00 0 25 44 33 70 5 10
Number (#) of patients needing surgery 53264 17236 8898 13939 0 2287 3479 2593 4443 309 413
Average length of stay (ALOS) for surgery 7.01 8 6.33 5 0 10 6.8 5 9 10 10
# of surgery beds/day 1022.75 377.52 154.29 190.81 0.00 62.61 64.76 35.50 109.48 8.46 11.30
CHEMOTHERAPY % of patients requiring chemo 67.12 62.5 66.67 100 100 50 66 66 90 20 50
# of patients requiring chemo 85643.98 14607 10469 13939 12495 4574 5218 5187 5712 1236 2065
ALOS for chemo 3.64 3.5 3 3 6.5 3 3.4 3 3 3 5
# of chemo beds/day 853.51 139.97 85.98 114.49 222.36 37.57 48.57 42.60 46.92 10.15 28.26
RADIOTHERAPY % of patients requiring RT 51.98 41.25 40 100 32.5 90 71 50 25 20 50
# of patients 66322.18 9641 6281 13939 4061 8233 5613 3930 1587 1236 2065
# of admitted patients 16580.54 2410 1570 3485 1015 2058 1403 982 397 309 516
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 226.98 32.99 21.49 47.70 13.90 28.18 19.21 13.45 5.43 4.23 7.07
ONCOLOGY BEDS Maximum # of beds/day 2104 551 262 354 237 129 133 92 162 23 47
# of 24 bed oncology wards 88 23 11 15 10 6 6 4 7 1 2
ONCOLOGISTS Hematologist Oncologists 25 0 0 0 25 0 0 0 0 0 0
Surgical Oncologists 111 36 19 30 0 5 8 6 10 1 1
Radiation/Clinical Oncologists 639 117 79 70 63 46 40 40 32 31 21
Urologic Oncologists 47 47 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 32 0 32 0 0 0 0 0 0 0 0
Pathologists 256 47 32 28 25 19 16 16 13 13 9
PHARMACY Onco-Pharmacists 352 92 44 60 40 24 24 16 28 4 8
Onco-Pharmacy Technicians 528 138 66 90 60 36 36 24 42 6 12
PALLIATIVE CARE Palliative Care Specialists 256 47 32 28 25 19 16 16 13 13 9
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 796 116 76 168 49 99 68 48 20 15 25
Medical Physicists 266 39 26 56 17 33 23 16 7 5 9
Linac Engineers 67 10 7 14 5 9 6 4 2 2 3
Radiation Oncology Nurses 266 39 26 56 17 33 23 16 7 5 9
Linacs / Co 60 Megavolt Units 133 20 13 28 9 17 12 8 4 3 5
# of Brachytherapy units 67 10 7 14 5 9 6 4 2 2 3
# CT simulators 67 10 7 14 5 9 6 4 2 2 3
# of treatment planning computers 67 10 7 14 5 9 6 4 2 2 3
# of dosimetry/QA package 67 10 7 14 5 9 6 4 2 2 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1320 345 165 225 150 90 90 60 105 15 30

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

Ciudad de México Ecatepec
Population 8555272 1655015
New Cancer Cases 10057 1946
SURGERY % of patients needing surgery 41.74 41.74
Number (#) of patients needing surgery 4198 812
Average length of stay (ALOS) for surgery 7.01 7.01
# of surgery beds/day 80.61 15.60
CHEMOTHERAPY % of patients requiring chemo 67.12 67.12
# of patients requiring chemo 6750 1306
ALOS for chemo 3.64 3.64
# of chemo beds/day 67.27 13.02
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 5227 1011
# of admitted patients 1307 253
ALOS 5 5
# of RT beds/day 17.89 3.46
ONCOLOGY BEDS Maximum # of beds/day 166 33
# of 24 bed oncology wards 7 2
ONCOLOGISTS Hematologist Oncologists 2 1
Surgical Oncologists 9 2
Radiation/Clinical Oncologists 51 10
Urologic Oncologists 4 1
Gynecologic Oncologist 3 1
Pathologists 21 4
PHARMACY Onco-Pharmacists 28 8
Onco-Pharmacy Technicians 42 12
PALLIATIVE CARE Palliative Care Specialists 21 4
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 63 13
Medical Physicists 21 5
Linac Engineers 6 2
Radiation Oncology Nurses 21 5
Linacs / Co 60 Megavolt Units 11 3
# of Brachytherapy units 6 2
# CT simulators 6 2
# of treatment planning computers 6 2
# of dosimetry/QA package 6 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 105 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 top 10 cancers