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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN PAKISTAN

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Head and Neck Hematological Gynecological Urological Lung Colorectal Esophagus Liver Brain, nervous system
New Cancer Cases 148041 34038 21747 13316 11107 9524 6800 5335 5168 4324 4253
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 49.44 100 44 0 56.67 73.75 25 70 20 5 100
Number (#) of patients needing surgery 73194 34038 9569 0 6294 7024 1700 3735 1034 216 4253
Average length of stay (ALOS) for surgery 7.31 5 6.8 0 6.33 8 10 9 9 10 9
# of surgery beds/day 1465.55 465.95 178.14 0.00 109.14 153.84 46.54 92.02 25.47 5.92 104.80
CHEMOTHERAPY % of patients requiring chemo 74.52 100 66 100 66.67 62.5 50 90 90 20 100
# of patients requiring chemo 110315.71 34038 14353 13316 7405 5953 3400 4802 4651 865 4253
ALOS for chemo 3.44 3 3.4 6.5 3 3.5 3 3 3 3 3
# of chemo beds/day 1038.98 279.57 133.61 236.97 60.82 57.04 27.93 39.44 38.20 7.10 34.93
RADIOTHERAPY % of patients requiring RT 60.98 100 71 32.5 40 41.25 90 25 90 20 100
# of patients 90268.00 34038 15440 4328 4443 3929 6120 1334 4651 865 4253
# of admitted patients 22567.00 8510 3860 1082 1111 982 1530 333 1163 216 1063
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 308.93 116.49 52.84 14.81 15.20 13.45 20.94 4.56 15.92 2.96 14.56
ONCOLOGY BEDS Maximum # of beds/day 2814 863 365 252 186 225 96 137 80 16 155
# of 24 bed oncology wards 118 36 16 11 8 10 4 6 4 1 7
ONCOLOGISTS Hematologist Oncologists 27 0 0 27 0 0 0 0 0 0 0
Surgical Oncologists 153 71 20 0 14 15 4 8 3 1 9
Radiation/Clinical Oncologists 741 171 109 67 56 48 34 27 26 22 22
Urologic Oncologists 20 0 0 0 0 20 0 0 0 0 0
Gynecologic Oncologist 23 0 0 0 23 0 0 0 0 0 0
Neuro-Oncologists 9 0 0 0 0 0 0 0 0 0 9
Pathologists 297 69 44 27 23 20 14 11 11 9 9
PHARMACY Onco-Pharmacists 472 144 64 44 32 40 16 24 16 4 28
Onco-Pharmacy Technicians 708 216 96 66 48 60 24 36 24 6 42
PALLIATIVE CARE Palliative Care Specialists 297 69 44 27 23 20 14 11 11 9 9
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 1084 409 186 52 54 48 74 17 56 11 52
Medical Physicists 362 137 62 18 18 16 25 6 19 4 18
Linac Engineers 91 35 16 5 5 4 7 2 5 1 5
Radiation Oncology Nurses 362 137 62 18 18 16 25 6 19 4 18
Linacs / Co 60 Megavolt Units 181 69 31 9 9 8 13 3 10 2 9
# of Brachytherapy units 91 35 16 5 5 4 7 2 5 1 5
# CT simulators 91 35 16 5 5 4 7 2 5 1 5
# of treatment planning computers 91 35 16 5 5 4 7 2 5 1 5
# of dosimetry/QA package 91 35 16 5 5 4 7 2 5 1 5
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1770 540 240 165 120 150 60 90 60 15 105

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2011

Karachi
Population 21142625
New Cancer Cases 17394
SURGERY % of patients needing surgery 49.44
Number (#) of patients needing surgery 8600
Average length of stay (ALOS) for surgery 7.31
# of surgery beds/day 172.19
CHEMOTHERAPY % of patients requiring chemo 74.52
# of patients requiring chemo 12961
ALOS for chemo 3.44
# of chemo beds/day 122.07
RADIOTHERAPY % of patients requiring RT 60.98
# of patients 10606
# of admitted patients 2651
ALOS 5
# of RT beds/day 36.30
ONCOLOGY BEDS Maximum # of beds/day 331
# of 24 bed oncology wards 14
ONCOLOGISTS Hematologist Oncologists 4
Surgical Oncologists 18
Radiation/Clinical Oncologists 87
Urologic Oncologists 3
Gynecologic Oncologist 3
Neuro-Oncologists 2
Pathologists 35
PHARMACY Onco-Pharmacists 56
Onco-Pharmacy Technicians 84
PALLIATIVE CARE Palliative Care Specialists 35
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 128
Medical Physicists 43
Linac Engineers 11
Radiation Oncology Nurses 43
Linacs / Co 60 Megavolt Units 22
# of Brachytherapy units 11
# CT simulators 11
# of treatment planning computers 11
# of dosimetry/QA package 11
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 210

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