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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN KOREA, DEMOCRATIC REPUBLIC

Cancer All cancers
excl. non-melanoma
skin cancer
Stomach Head & Neck Colorectal Lung Liver Urological Hematological Malignancies Gallbladder Pancreas Breast
New Cancer Cases 168528 27098 24976 23075 18798 15277 13568 8377 4382 4207 4203
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 39.38 33 44 70 25 5 73.75 0 33 10 100
Number (#) of patients needing surgery 66358 8942 10989 16153 4700 764 10006 0 1446 421 4203
Average length of stay (ALOS) for surgery 7.28 5 6.8 9 10 10 8 0 9 10 5
# of surgery beds/day 1322.62 122.41 204.59 398.01 128.67 20.91 219.17 0.00 35.63 11.52 57.54
CHEMOTHERAPY % of patients requiring chemo 67.05 66 66 90 50 20 62.5 100 66 50 100
# of patients requiring chemo 112998.02 17885 16484 20768 9399 3055 8480 8377 2892 2104 4203
ALOS for chemo 3.64 3 3.4 3 3 3 3.5 6.5 3 5 3
# of chemo beds/day 1126.11 146.90 153.45 170.57 77.20 25.10 81.26 149.08 23.75 28.80 34.52
RADIOTHERAPY % of patients requiring RT 52.98 50 71 25 90 20 41.25 32.5 50 50 100
# of patients 89277.71 13549 17733 5769 16918 3055 5597 2723 2191 2104 4203
# of admitted patients 22319.43 3387 4433 1442 4230 764 1399 681 548 526 1051
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 305.54 46.37 60.69 19.74 57.90 10.46 19.15 9.32 7.50 7.20 14.38
ONCOLOGY BEDS Maximum # of beds/day 2755 316 419 589 264 57 320 159 67 48 107
# of 24 bed oncology wards 115 14 18 25 11 3 14 7 3 2 5
ONCOLOGISTS Hematologist Oncologists 17 0 0 0 0 0 0 17 0 0 0
Surgical Oncologists 139 19 23 34 10 2 21 0 4 1 9
Radiation/Clinical Oncologists 843 136 125 116 94 77 68 42 22 22 22
Urologic Oncologists 28 0 0 0 0 0 28 0 0 0 0
Pathologists 338 55 50 47 38 31 28 17 9 9 9
PHARMACY Onco-Pharmacists 460 56 72 100 44 12 56 28 12 8 20
Onco-Pharmacy Technicians 690 84 108 150 66 18 84 42 18 12 30
PALLIATIVE CARE Palliative Care Specialists 338 55 50 47 38 31 28 17 9 9 9
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 1072 163 213 70 204 37 68 33 27 26 51
Medical Physicists 358 55 71 24 68 13 23 11 9 9 17
Linac Engineers 90 14 18 6 17 4 6 3 3 3 5
Radiation Oncology Nurses 358 55 71 24 68 13 23 11 9 9 17
Linacs / Co 60 Megavolt Units 179 28 36 12 34 7 12 6 5 5 9
# of Brachytherapy units 90 14 18 6 17 4 6 3 3 3 5
# CT simulators 90 14 18 6 17 4 6 3 3 3 5
# of treatment planning computers 90 14 18 6 17 4 6 3 3 3 5
# of dosimetry/QA package 90 14 18 6 17 4 6 3 3 3 5
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1725 210 270 375 165 45 210 105 45 30 75

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2008

P'yŏngyang Hamhŭng
Population 2581076 703610
New Cancer Cases 9034 2463
SURGERY % of patients needing surgery 39.38 39.38
Number (#) of patients needing surgery 3557 970
Average length of stay (ALOS) for surgery 7.28 7.28
# of surgery beds/day 70.90 19.33
CHEMOTHERAPY % of patients requiring chemo 67.05 67.05
# of patients requiring chemo 6057 1651
ALOS for chemo 3.64 3.64
# of chemo beds/day 60.37 16.46
RADIOTHERAPY % of patients requiring RT 52.98 52.98
# of patients 4786 1305
# of admitted patients 1196 326
ALOS 5 5
# of RT beds/day 16.38 4.47
ONCOLOGY BEDS Maximum # of beds/day 148 41
# of 24 bed oncology wards 7 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 8 3
Radiation/Clinical Oncologists 46 13
Urologic Oncologists 2 1
Pathologists 19 5
PHARMACY Onco-Pharmacists 28 8
Onco-Pharmacy Technicians 42 12
PALLIATIVE CARE Palliative Care Specialists 19 5
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 58 16
Medical Physicists 20 6
Linac Engineers 5 2
Radiation Oncology Nurses 20 6
Linacs / Co 60 Megavolt Units 10 3
# of Brachytherapy units 5 2
# CT simulators 5 2
# of treatment planning computers 5 2
# of dosimetry/QA package 5 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 105 30

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