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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN MEXICO

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Gynecological Hematological Head and Neck Colorectal Lung Stomach Liver Brain, nervous system
New Cancer Cases 147985 22854 20444 19970 13880 8958 8651 8439 7680 6387 4446
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 73.75 100 56.67 0 44 70 25 33 5 100
Number (#) of patients needing surgery 75090 16855 20444 11316 0 3942 6056 2110 2534 319 4446
Average length of stay (ALOS) for surgery 6.91 8 5 6.33 0 6.8 9 10 5 10 9
# of surgery beds/day 1421.28 369.17 279.86 196.22 0.00 73.38 149.22 57.76 34.69 8.74 109.55
CHEMOTHERAPY % of patients requiring chemo 72.12 62.5 100 66.67 100 66 90 50 66 20 100
# of patients requiring chemo 106722.34 14284 20444 13314 13880 5912 7786 4220 5069 1277 4446
ALOS for chemo 3.44 3.5 3 3 6.5 3.4 3 3 3 3 3
# of chemo beds/day 1005.13 136.87 167.92 109.36 247.01 55.04 63.95 34.66 41.63 10.49 36.52
RADIOTHERAPY % of patients requiring RT 56.98 41.25 100 40 32.5 71 25 90 50 20 100
# of patients 84314.45 9427 20444 7988 4511 6360 2163 7595 3840 1277 4446
# of admitted patients 21078.61 2357 5111 1997 1128 1590 541 1899 960 319 1112
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 288.55 32.26 69.97 27.34 15.44 21.77 7.40 25.99 13.14 4.37 15.22
ONCOLOGY BEDS Maximum # of beds/day 2715 539 518 333 263 151 221 119 90 24 162
# of 24 bed oncology wards 114 23 22 14 11 7 10 5 4 1 7
ONCOLOGISTS Hematologist Oncologists 28 0 0 0 28 0 0 0 0 0 0
Surgical Oncologists 157 36 43 24 0 9 13 5 6 1 10
Radiation/Clinical Oncologists 740 115 103 100 70 45 44 43 39 32 23
Urologic Oncologists 46 46 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 40 0 0 40 0 0 0 0 0 0 0
Neuro-Oncologists 9 0 0 0 0 0 0 0 0 0 9
Pathologists 296 46 41 40 28 18 18 17 16 13 9
PHARMACY Onco-Pharmacists 456 92 88 56 44 28 40 20 16 4 28
Onco-Pharmacy Technicians 684 138 132 84 66 42 60 30 24 6 42
PALLIATIVE CARE Palliative Care Specialists 296 46 41 40 28 18 18 17 16 13 9
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 1012 114 246 96 55 77 26 92 47 16 54
Medical Physicists 338 38 82 32 19 26 9 31 16 6 18
Linac Engineers 85 10 21 8 5 7 3 8 4 2 5
Radiation Oncology Nurses 338 38 82 32 19 26 9 31 16 6 18
Linacs / Co 60 Megavolt Units 169 19 41 16 10 13 5 16 8 3 9
# of Brachytherapy units 85 10 21 8 5 7 3 8 4 2 5
# CT simulators 85 10 21 8 5 7 3 8 4 2 5
# of treatment planning computers 85 10 21 8 5 7 3 8 4 2 5
# of dosimetry/QA package 85 10 21 8 5 7 3 8 4 2 5
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1710 345 330 210 165 105 150 75 60 15 105

RESOURCES NEEDED IN CITIES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2014

Ciudad de México Ecatepec
Population 8555500 1742000
New Cancer Cases 10901 2220
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 5531 1126
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 104.70 21.32
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 7861 1601
ALOS for chemo 3.44 3.44
# of chemo beds/day 74.04 15.08
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 6211 1265
# of admitted patients 1553 316
ALOS 5 5
# of RT beds/day 21.26 4.33
ONCOLOGY BEDS Maximum # of beds/day 200 41
# of 24 bed oncology wards 9 2
ONCOLOGISTS Hematologist Oncologists 3 1
Surgical Oncologists 12 3
Radiation/Clinical Oncologists 55 12
Urologic Oncologists 4 1
Gynecologic Oncologist 3 1
Neuro-Oncologists 1 1
Pathologists 22 5
PHARMACY Onco-Pharmacists 36 8
Onco-Pharmacy Technicians 54 12
PALLIATIVE CARE Palliative Care Specialists 22 5
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 75 16
Medical Physicists 25 6
Linac Engineers 7 2
Radiation Oncology Nurses 25 6
Linacs / Co 60 Megavolt Units 13 3
# of Brachytherapy units 7 2
# CT simulators 7 2
# of treatment planning computers 7 2
# of dosimetry/QA package 7 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 135 30

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