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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN NORTH KOREA

Cancer All cancers
excl. non-melanoma
skin cancer
Lung Colorectal Breast Liver Stomach Gynecological Urological Head and Neck Hematological Esophagus
New Cancer Cases 55372 13859 6726 5707 4969 4403 3736 3207 2311 1874 1618
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 42.74 25 70 100 5 33 56.67 73.75 44 0 20
Number (#) of patients needing surgery 23667 3465 4708 5707 248 1453 2117 2365 1017 0 324
Average length of stay (ALOS) for surgery 6.91 10 9 5 10 5 6.33 8 6.8 0 9
# of surgery beds/day 447.96 94.86 116.01 78.12 6.80 19.89 36.71 51.80 18.93 0.00 7.97
CHEMOTHERAPY % of patients requiring chemo 71.12 50 90 100 20 66 66.67 62.5 66 100 90
# of patients requiring chemo 39378.91 6930 6053 5707 994 2906 2491 2004 1525 1874 1456
ALOS for chemo 3.44 3 3 3 3 3 3 3.5 3.4 6.5 3
# of chemo beds/day 370.88 56.92 49.72 46.87 8.16 23.87 20.46 19.21 14.20 33.35 11.96
RADIOTHERAPY % of patients requiring RT 55.98 90 25 100 20 50 40 41.25 71 32.5 90
# of patients 30994.48 12473 1682 5707 994 2202 1494 1323 1641 609 1456
# of admitted patients 7748.62 3118 420 1427 248 550 374 331 410 152 364
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 106.07 42.69 5.75 19.53 3.40 7.53 5.11 4.53 5.62 2.08 4.98
ONCOLOGY BEDS Maximum # of beds/day 925 195 172 145 19 52 63 76 39 36 25
# of 24 bed oncology wards 39 9 8 7 1 3 3 4 2 2 2
ONCOLOGISTS Hematologist Oncologists 4 0 0 0 0 0 0 0 0 4 0
Surgical Oncologists 50 8 10 12 1 4 5 5 3 0 1
Radiation/Clinical Oncologists 277 70 34 29 25 23 19 17 12 10 9
Urologic Oncologists 7 0 0 0 0 0 0 7 0 0 0
Gynecologic Oncologist 8 0 0 0 0 0 8 0 0 0 0
Pathologists 111 28 14 12 10 9 8 7 5 4 4
PHARMACY Onco-Pharmacists 156 36 32 28 4 12 12 16 8 8 8
Onco-Pharmacy Technicians 234 54 48 42 6 18 18 24 12 12 12
PALLIATIVE CARE Palliative Care Specialists 111 28 14 12 10 9 8 7 5 4 4
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 372 150 21 69 12 27 18 16 20 8 18
Medical Physicists 124 50 7 23 4 9 6 6 7 3 6
Linac Engineers 31 13 2 6 1 3 2 2 2 1 2
Radiation Oncology Nurses 124 50 7 23 4 9 6 6 7 3 6
Linacs / Co 60 Megavolt Units 62 25 4 12 2 5 3 3 4 2 3
# of Brachytherapy units 31 13 2 6 1 3 2 2 2 1 2
# CT simulators 31 13 2 6 1 3 2 2 2 1 2
# of treatment planning computers 31 13 2 6 1 3 2 2 2 1 2
# of dosimetry/QA package 31 13 2 6 1 3 2 2 2 1 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 585 135 120 105 15 45 45 60 30 30 30

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2008

P'yongyang Hamhung
Population 2581076 703610
New Cancer Cases 5821 1587
SURGERY % of patients needing surgery 42.74 42.74
Number (#) of patients needing surgery 2488 678
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 47.09 12.84
CHEMOTHERAPY % of patients requiring chemo 71.12 71.12
# of patients requiring chemo 4140 1129
ALOS for chemo 3.44 3.44
# of chemo beds/day 38.99 10.63
RADIOTHERAPY % of patients requiring RT 55.98 55.98
# of patients 3258 888
# of admitted patients 815 222
ALOS 5 5
# of RT beds/day 11.15 3.04
ONCOLOGY BEDS Maximum # of beds/day 98 27
# of 24 bed oncology wards 5 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 6 2
Radiation/Clinical Oncologists 30 8
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 12 4
PHARMACY Onco-Pharmacists 20 8
Onco-Pharmacy Technicians 30 12
PALLIATIVE CARE Palliative Care Specialists 12 4
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 40 11
Medical Physicists 14 4
Linac Engineers 4 1
Radiation Oncology Nurses 14 4
Linacs / Co 60 Megavolt Units 7 2
# of Brachytherapy units 4 1
# CT simulators 4 1
# of treatment planning computers 4 1
# of dosimetry/QA package 4 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 75 30

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