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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN MOLDOVA

Cancer All cancers
excl. non-melanoma
skin cancer
Colorectal Lung Breast Urological Gynecological
New Cancer Cases 9894 1515 1235 1104 1054 1019
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 65.08 70 25 100 73.75 56.67
Number (#) of patients needing surgery 6439 1061 309 1104 777 577
Average length of stay (ALOS) for surgery 7.67 9 10 5 8 6.33
# of surgery beds/day 135.16 26.13 8.45 15.11 17.03 10.01
CHEMOTHERAPY % of patients requiring chemo 73.83 90 50 100 62.5 66.67
# of patients requiring chemo 7305.14 1364 618 1104 659 679
ALOS for chemo 3.10 3 3 3 3.5 3
# of chemo beds/day 62.00 11.20 5.07 9.07 6.31 5.58
RADIOTHERAPY % of patients requiring RT 59.25 25 90 100 41.25 40
# of patients 5862.20 379 1112 1104 435 408
# of admitted patients 1465.55 95 278 276 109 102
ALOS 5.00 5 5 5 5 5
# of RT beds/day 20.06 1.30 3.80 3.78 1.49 1.39
ONCOLOGY BEDS Maximum # of beds/day 218 39 18 28 25 17
# of 24 bed oncology wards 10 2 1 2 2 1
ONCOLOGISTS Surgical Oncologists 14 3 1 3 2 2
Radiation/Clinical Oncologists 50 8 7 6 6 6
Urologic Oncologists 3 0 0 0 3 0
Gynecologic Oncologist 3 0 0 0 0 3
Pathologists 20 4 3 3 3 3
PHARMACY Onco-Pharmacists 40 8 4 8 8 4
Onco-Pharmacy Technicians 60 12 6 12 12 6
PALLIATIVE CARE Palliative Care Specialists 20 4 3 3 3 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 71 5 14 14 6 5
Medical Physicists 24 2 5 5 2 2
Linac Engineers 6 1 2 2 1 1
Radiation Oncology Nurses 24 2 5 5 2 2
Linacs / Co 60 Megavolt Units 12 1 3 3 1 1
# of Brachytherapy units 6 1 2 2 1 1
# CT simulators 6 1 2 2 1 1
# of treatment planning computers 6 1 2 2 1 1
# of dosimetry/QA package 6 1 2 2 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 150 30 15 30 30 15

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

Chisinau Balti
Population 674500 144900
New Cancer Cases 1897 408
SURGERY % of patients needing surgery 65.08 65.08
Number (#) of patients needing surgery 1235 266
Average length of stay (ALOS) for surgery 7.67 7.67
# of surgery beds/day 25.92 5.57
CHEMOTHERAPY % of patients requiring chemo 73.83 73.83
# of patients requiring chemo 1401 301
ALOS for chemo 3.10 3.10
# of chemo beds/day 11.89 2.56
RADIOTHERAPY % of patients requiring RT 59.25 59.25
# of patients 1124 242
# of admitted patients 281 60
ALOS 5 5
# of RT beds/day 3.85 0.83
ONCOLOGY BEDS Maximum # of beds/day 42 9
# of 24 bed oncology wards 2 1
ONCOLOGISTS Surgical Oncologists 3 1
Radiation/Clinical Oncologists 10 3
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 4 1
PHARMACY Onco-Pharmacists 8 4
Onco-Pharmacy Technicians 12 6
PALLIATIVE CARE Palliative Care Specialists 4 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 14 3
Medical Physicists 5 1
Linac Engineers 2 1
Radiation Oncology Nurses 5 1
Linacs / Co 60 Megavolt Units 3 1
# of Brachytherapy units 2 1
# CT simulators 2 1
# of treatment planning computers 2 1
# of dosimetry/QA package 2 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 30 15

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 5 cancers