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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN NICARAGUA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Urological Breast Stomach Liver
New Cancer Cases 5129 1050 569 543 463 433
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 53.68 56.67 73.75 100 33 5
Number (#) of patients needing surgery 2753 595 420 543 153 22
Average length of stay (ALOS) for surgery 6.87 6.33 8 5 5 10
# of surgery beds/day 51.76 10.32 9.19 7.43 2.09 0.59
CHEMOTHERAPY % of patients requiring chemo 63.03 66.67 62.5 100 66 20
# of patients requiring chemo 3233.01 700 356 543 306 87
ALOS for chemo 3.10 3 3.5 3 3 3
# of chemo beds/day 27.44 5.75 3.41 4.46 2.51 0.71
RADIOTHERAPY % of patients requiring RT 50.25 40 41.25 100 50 20
# of patients 2577.32 420 235 543 232 87
# of admitted patients 644.33 105 59 136 58 22
ALOS 5.00 5 5 5 5 5
# of RT beds/day 8.82 1.44 0.80 1.86 0.79 0.30
ONCOLOGY BEDS Maximum # of beds/day 89 18 14 14 6 2
# of 24 bed oncology wards 4 1 1 1 1 1
ONCOLOGISTS Surgical Oncologists 6 2 1 2 1 1
Radiation/Clinical Oncologists 26 6 3 3 3 3
Urologic Oncologists 2 0 2 0 0 0
Gynecologic Oncologist 3 3 0 0 0 0
Pathologists 11 3 2 2 1 1
PHARMACY Onco-Pharmacists 16 4 4 4 4 4
Onco-Pharmacy Technicians 24 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 11 3 2 2 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 31 6 3 7 3 2
Medical Physicists 11 2 1 3 1 1
Linac Engineers 3 1 1 1 1 1
Radiation Oncology Nurses 11 2 1 3 1 1
Linacs / Co 60 Megavolt Units 6 1 1 2 1 1
# of Brachytherapy units 3 1 1 1 1 1
# CT simulators 3 1 1 1 1 1
# of treatment planning computers 3 1 1 1 1 1
# of dosimetry/QA package 3 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 60 15 15 15 15 15

RESOURCES NEEDED IN DEPARTMENTS BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2012

Managua Matagalpa
Population 1448300 542400
New Cancer Cases 1248 468
SURGERY % of patients needing surgery 53.68 53.68
Number (#) of patients needing surgery 670 251
Average length of stay (ALOS) for surgery 6.87 6.87
# of surgery beds/day 12.60 4.72
CHEMOTHERAPY % of patients requiring chemo 63.03 63.03
# of patients requiring chemo 787 295
ALOS for chemo 3.10 3.10
# of chemo beds/day 6.68 2.50
RADIOTHERAPY % of patients requiring RT 50.25 50.25
# of patients 627 235
# of admitted patients 157 59
ALOS 5 5
# of RT beds/day 2.15 0.80
ONCOLOGY BEDS Maximum # of beds/day 22 9
# of 24 bed oncology wards 1 1
ONCOLOGISTS Surgical Oncologists 2 1
Radiation/Clinical Oncologists 7 3
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 3 1
PHARMACY Onco-Pharmacists 4 4
Onco-Pharmacy Technicians 6 6
PALLIATIVE CARE Palliative Care Specialists 3 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 8 3
Medical Physicists 3 1
Linac Engineers 1 1
Radiation Oncology Nurses 3 1
Linacs / Co 60 Megavolt Units 2 1
# of Brachytherapy units 1 1
# CT simulators 1 1
# of treatment planning computers 1 1
# of dosimetry/QA package 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 15 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