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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN NIGERIA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Gynecological Urological Liver Hematological Colorectal Head and Neck Stomach Pancreas Kaposi sarcoma
New Cancer Cases 102079 27304 17375 13864 12047 7244 4172 3894 1889 1673 1447
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 39.24 100 56.67 73.75 5 0 70 44 33 10 0
Number (#) of patients needing surgery 40058 27304 9846 10225 602 0 2920 1713 623 167 0
Average length of stay (ALOS) for surgery 6.01 5 6.33 8 10 0 9 6.8 5 10 0
# of surgery beds/day 659.49 373.77 170.72 223.95 16.49 0.00 71.96 31.90 8.53 4.58 0.00
CHEMOTHERAPY % of patients requiring chemo 69.12 100 66.67 62.5 20 100 90 66 66 50 70
# of patients requiring chemo 70553.94 27304 11584 8665 2409 7244 3755 2570 1247 837 1013
ALOS for chemo 3.64 3 3 3.5 3 6.5 3 3.4 3 5 3
# of chemo beds/day 703.12 224.26 95.15 83.03 19.79 128.91 30.84 23.92 10.24 11.45 8.32
RADIOTHERAPY % of patients requiring RT 47.98 100 40 41.25 20 32.5 25 71 50 50 50
# of patients 48972.40 27304 6950 5719 2409 2354 1043 2765 945 837 724
# of admitted patients 12243.10 6826 1738 1430 602 589 261 691 236 209 181
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 167.60 93.44 23.79 19.57 8.25 8.06 3.57 9.46 3.23 2.86 2.48
ONCOLOGY BEDS Maximum # of beds/day 1531 692 290 327 45 137 107 66 23 19 11
# of 24 bed oncology wards 64 29 13 14 2 6 5 3 1 1 1
ONCOLOGISTS Hematologist Oncologists 15 0 0 0 0 15 0 0 0 0 0
Surgical Oncologists 84 57 21 22 2 0 7 4 2 1 0
Radiation/Clinical Oncologists 511 137 87 70 61 37 21 20 10 9 8
Urologic Oncologists 28 0 0 28 0 0 0 0 0 0 0
Gynecologic Oncologist 35 0 35 0 0 0 0 0 0 0 0
Pathologists 205 55 35 28 25 15 9 8 4 4 3
PHARMACY Onco-Pharmacists 256 116 52 56 8 24 20 12 4 4 4
Onco-Pharmacy Technicians 384 174 78 84 12 36 30 18 6 6 6
PALLIATIVE CARE Palliative Care Specialists 205 55 35 28 25 15 9 8 4 4 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 588 328 84 69 29 29 13 34 12 11 9
Medical Physicists 196 110 28 23 10 10 5 12 4 4 3
Linac Engineers 49 28 7 6 3 3 2 3 1 1 1
Radiation Oncology Nurses 196 110 28 23 10 10 5 12 4 4 3
Linacs / Co 60 Megavolt Units 98 55 14 12 5 5 3 6 2 2 2
# of Brachytherapy units 49 28 7 6 3 3 2 3 1 1 1
# CT simulators 49 28 7 6 3 3 2 3 1 1 1
# of treatment planning computers 49 28 7 6 3 3 2 3 1 1 1
# of dosimetry/QA package 49 28 7 6 3 3 2 3 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 960 435 195 210 30 90 75 45 15 15 15

RESOURCES NEEDED IN FEDERAL STATES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2011

Kano Lagos
Population 11058300 10668100
New Cancer Cases 6775 6536
SURGERY % of patients needing surgery 39.24 39.24
Number (#) of patients needing surgery 2659 2565
Average length of stay (ALOS) for surgery 6.01 6.01
# of surgery beds/day 43.77 42.23
CHEMOTHERAPY % of patients requiring chemo 69.12 69.12
# of patients requiring chemo 4683 4517
ALOS for chemo 3.64 3.64
# of chemo beds/day 46.67 45.02
RADIOTHERAPY % of patients requiring RT 47.98 47.98
# of patients 3250 3136
# of admitted patients 813 784
ALOS 5 5
# of RT beds/day 11.12 10.73
ONCOLOGY BEDS Maximum # of beds/day 102 98
# of 24 bed oncology wards 5 5
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 6 6
Radiation/Clinical Oncologists 34 33
Urologic Oncologists 2 2
Gynecologic Oncologist 3 3
Pathologists 14 14
PHARMACY Onco-Pharmacists 20 20
Onco-Pharmacy Technicians 30 30
PALLIATIVE CARE Palliative Care Specialists 14 14
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 40 38
Medical Physicists 14 13
Linac Engineers 4 4
Radiation Oncology Nurses 14 13
Linacs / Co 60 Megavolt Units 7 7
# 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, 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