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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN NIGERIA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Gynecological Urological Hematological Malignancies Liver Head & Neck Colorectal Kaposi sarcoma Stomach Lung
New Cancer Cases 101797 18935 17082 10245 9125 9110 7051 5151 2178 1819 1052
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 40.74 100.0 56.67 73.75 0 5 44 70 0 33 25
Number (#) of patients needing surgery 41473.79 18935 9680 7556 0 456 3102 3606 0 600 263
Average length of stay (ALOS) for surgery 6.01 5 6.33 8 0 10 6.8 9 0 5 10
# of surgery beds/day 682.81 259.21 167.85 165.49 0.00 12.47 57.76 88.85 0.00 8.22 7.20
CHEMOTHERAPY % of patients requiring chemo 69.12 100 66.67 62.5 100 20 66 90 70 66 50
# of patients requiring chemo 70358.69 18935 11388 6403 9125 1822 4654 4636 1525 1201 526
ALOS for chemo 3.44 3 3 3.5 6.5 3 3.4 3 3 3 3
# of chemo beds/day 662.65 155.52 93.54 61.36 162.39 14.97 43.32 38.08 12.52 9.86 4.32
RADIOTHERAPY % of patients requiring RT 51.98 100 40 41.25 32.5 20 71 25 50 50 90
# of patients 52908.99 18935 6833 4226 2966 1822 5006 1288 1089 910 947
# of admitted patients 13227.25 4734 1708 1057 741 456 1252 322 272 227 237
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 181.07 64.80 23.38 14.46 10.15 6.24 17.13 4.41 3.73 3.11 3.24
ONCOLOGY BEDS Maximum # of beds/day 1527 480 285 242 173 34 119 132 17 22 15
# of 24 bed oncology wards 64 20 12 11 8 2 5 6 1 1 1
ONCOLOGISTS Hematologist Oncologists 19 0 0 0 19 0 0 0 0 0 0
Surgical Oncologists 87 40 21 16 0 1 7 8 0 2 1
Radiation/Clinical Oncologists 509 95 86 52 46 46 36 26 11 10 6
Urologic Oncologists 21 0 0 21 0 0 0 0 0 0 0
Gynecologic Oncologist 35 0 35 0 0 0 0 0 0 0 0
Pathologists 204 38 35 21 19 19 15 11 5 4 3
PHARMACY Onco-Pharmacists 256 80 48 44 32 8 20 24 4 4 4
Onco-Pharmacy Technicians 384 120 72 66 48 12 30 36 6 6 6
PALLIATIVE CARE Palliative Care Specialists 204 38 35 21 19 19 15 11 5 4 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 635 228 82 51 36 22 61 16 14 11 12
Medical Physicists 212 76 28 17 12 8 21 6 5 4 4
Linac Engineers 53 19 7 5 3 2 6 2 2 1 1
Radiation Oncology Nurses 212 76 28 17 12 8 21 6 5 4 4
Linacs / Co 60 Megavolt Units 106 38 14 9 6 4 11 3 3 2 2
# of Brachytherapy units 53 19 7 5 3 2 6 2 2 1 1
# CT simulators 53 19 7 5 3 2 6 2 2 1 1
# of treatment planning computers 53 19 7 5 3 2 6 2 2 1 1
# of dosimetry/QA package 53 19 7 5 3 2 6 2 2 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 960 300 180 165 120 30 75 90 15 15 15

CANCER INCIDENCE IN FEDERAL STATES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2011

Kano Lagos
Population 11058300 10668100
New Cancer Cases 7445 7182
SURGERY % of patients needing surgery 40.74 40.74
# of patients needing surgery 3033 2926
ALOS for surgery 6.01 6.01
# of surgery beds/day 49.94 48.17
CHEMOTHERAPY % of patients requiring chemo 69.12 69.12
# of patients requiring chemo 5146 4964
ALOS for chemo 3.44 3.44
# of chemo beds/day 48.46 46.75
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 3870 3733
# of admitted patients 967 933
ALOS 5 5
# of RT beds/day 13.24 12.77
ONCOLOGY BEDS Maximum # of beds/day 112 108
# of 24 bed oncology wards 5 5
ONCOLOGISTS Hematologist Oncologists 2 2
Surgical Oncologists 7 7
Radiation/Clinical Oncologists 38 36
Urologic Oncologists 2 2
Gynecologic Oncologist 3 3
Pathologists 15 15
PHARMACY Onco-Pharmacists 20 20
Onco-Pharmacy Technicians 30 30
PALLIATIVE CARE Palliative Care Specialists 15 15
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 47 45
Medical Physicists 16 15
Linac Engineers 4 4
Radiation Oncology Nurses 16 15
Linacs / Co 60 Megavolt Units 8 8
# of Brachytherapy units 4 4
# CT simulators 4 4
# of treatment planning computers 4 4
# of dosimetry/QA package 4 4
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 75 75

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