Skip to Content
U.S. National Institutes of Health
Last Updated: 01/16/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN PAKISTAN

Cancer All except melanoma Breast Colorectal Gynecological Head and Neck Hematological Malignancy Lung Esophagus Stomach Urological Brain, nervous system
New Cancer Cases 139163 19271 5501 16821 22407 12894 8282 6644 7052 8687 3294
Rank 2 9 3 1 4 6 8 7 5 10
SURGERY % of patients needing surgery 52.24 100.00 70 56.67 44 0 25 20 33 73.75 100
Number (#) of patients needing surgery 72701 19271 3851 9532 9859 0 2071 1329 2327 6407 3294
Average length of stay (ALOS) for surgery 6.81 5 9 6.33 6.8 0 10 9 5 8 9
# of surgery beds/day 1356.16 263.81 94.88 165.28 183.55 0.00 56.69 32.74 31.86 140.32 81.17
CHEMOTHERAPY % of patients requiring chemo 79.12 100 90 66.67 66 100 50 90 66 62.5 100
# of patients requiring chemo 110101.59 19271 4951 11215 14789 12894 4141 5980 4654 5429 3294
ALOS for chemo 3.44 3 3 3 3.4 6.5 3 3 3 3.5 3
# of chemo beds/day 1036.96 158.28 40.66 92.11 137.66 229.46 34.01 49.11 38.23 52.03 27.06
RADIOTHERAPY % of patients requiring RT 63.98 100 25 40 71 32.5 90 90 50 41.25 100
# of patients 89029.53 19271 1375 6728 15909 4191 7454 5980 3526 3583 3294
# of admitted patients 22257.38 4818 344 1682 3977 1048 1863 1495 882 896 824
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 304.69 65.95 4.71 23.03 54.45 14.34 25.51 20.46 12.07 12.26 11.27
ONCOLOGY BEDS Maximum # of beds/day 2698 489 141 281 376 244 117 103 83 205 120
# of 24 bed oncology wards 113 21 6 12 16 11 5 5 4 9 5
ONCOLOGISTS Hematologist Oncologists 26 0 0 0 0 26 0 0 0 0 0
Surgical Oncologists 152 41 9 20 21 0 5 3 5 14 7
Radiation / Clinical Oncologists 696 97 28 85 113 65 42 34 36 44 17
Urologic Oncologists 18 0 0 0 0 0 0 0 0 18 0
Gynecologic Oncologist 34 0 0 34 0 0 0 0 0 0 0
Neuro-Oncologists 7 0 0 0 0 0 0 0 0 0 7
Pathologists 279 39 12 34 45 26 17 14 15 18 7
PHARMACY Onco-Pharmacists 452 84 24 48 64 44 20 20 16 36 20
Onco-Pharmacy Technicians 678 126 36 72 96 66 30 30 24 54 30
PALLIATIVE CARE Palliative Care Specialists 279 39 12 34 45 26 17 14 15 18 7
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 1069 232 17 81 191 51 90 72 43 44 40
Medical Physicists 357 78 6 27 64 17 30 24 15 15 14
Linac Engineers 90 20 2 7 16 5 8 6 4 4 4
Radiation Oncology Nurses 357 78 6 27 64 17 30 24 15 15 14
Linacs / Co 60 Megavolt Units 179 39 3 14 32 9 15 12 8 8 7
# of Brachytherapy units 90 20 2 7 16 5 8 6 4 4 4
# CT simulators 90 20 2 7 16 5 8 6 4 4 4
# of treatment planning computers 90 20 2 7 16 5 8 6 4 4 4
# of dosimetry/QA package 90 20 2 7 16 5 8 6 4 4 4
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1695 315 90 180 240 165 75 75 60 135 75

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

Karāchi
(incl. cantonments)
Lahore
(incl. Cantonment)
Population 9339023 5143495
New Cancer Cases 7345 4046
SURGERY % of patients needing surgery 52.24 52.24
Number (#) of patients needing surgery 3837 2114
Average length of stay (ALOS) for surgery 6.81 6.81
# of surgery beds/day 71.58 39.43
CHEMOTHERAPY % of patients requiring chemo 79.12 79.12
# of patients requiring chemo 5811 3201
ALOS for chemo 3.44 3.44
# of chemo beds/day 54.73 30.15
RADIOTHERAPY % of patients requiring RT 63.98 63.98
# of patients 4699 2588
# of admitted patients 1175 647
ALOS 5 5
# of RT beds/day 16.08 8.86
ONCOLOGY BEDS Maximum # of beds/day 143 79
# of 24 bed oncology wards 6 4
ONCOLOGISTS Hematologist Oncologists 2 1
Surgical Oncologists 9 5
Radiation / Clinical Oncologists 37 21
Urologic Oncologists 1 1
Gynecologic Oncologist 2 1
Neuro-Oncologists 1 1
Pathologists 15 9
PHARMACY Onco-Pharmacists 24 16
Onco-Pharmacy Technicians 36 24
PALLIATIVE CARE Palliative Care Specialists 15 9
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 57 32
Medical Physicists 19 11
Linac Engineers 5 3
Radiation Oncology Nurses 19 11
Linacs / Co 60 Megavolt Units 10 6
# of Brachytherapy units 5 3
# CT simulators 5 3
# of treatment planning computers 5 3
# of dosimetry/QA package 5 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 90 60

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 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 Malignancies 0 0 100 5 40 5
Leukaemia Hematological Malignancies 0 0 100 7 20 5
Multiple myeloma Hematological Malignancies 0 0 100 7 20 5
Non-Hodgkin lymphoma Hematological Malignancies 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 10 most frequently occurring cancers