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U.S. National Institutes of Health
Last Updated: 01/15/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN PANAMA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Gynecological Breast Hematological Malignancies Stomach
New Cancer Cases 4630 960 595 466 416 372
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 52.68 73.75 56.67 100.00 0 33
Number (#) of patients needing surgery 2439 708 337 466 0 123
Average length of stay (ALOS) for surgery 4.87 8 6.33 5 0 5
# of surgery beds/day 32.50 15.51 5.85 6.38 0.00 1.68
CHEMOTHERAPY % of patients requiring chemo 79.03 62.5 66.67 100 100 66
# of patients requiring chemo 3659.27 600 397 466 416 246
ALOS for chemo 3.80 3.5 3 3 6.5 3
# of chemo beds/day 38.07 5.75 3.26 3.83 7.40 2.02
RADIOTHERAPY % of patients requiring RT 52.75 41.25 40 100 32.5 50
# of patients 2442.33 396 238 466 135 186
# of admitted patients 610.58 99 60 117 34 47
ALOS 5.00 5 5 5 5 5
# of RT beds/day 8.36 1.36 0.81 1.59 0.46 0.64
ONCOLOGY BEDS Maximum # of beds/day 79 23 10 12 8 5
# of 24 bed oncology wards 4 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 1 0 0 0 1 0
Surgical Oncologists 6 2 1 1 0 1
Radiation / Clinical Oncologists 24 5 3 3 3 2
Urologic Oncologists 2 2 0 0 0 0
Gynecologic Oncologist 2 0 2 0 0 0
Pathologists 10 2 2 1 1 1
PHARMACY Onco-Pharmacists 16 4 4 4 4 4
Onco-Pharmacy Technicians 24 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 10 2 2 1 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 30 5 3 6 2 3
Medical Physicists 10 2 1 2 1 1
Linac Engineers 3 1 1 1 1 1
Radiation Oncology Nurses 10 2 1 2 1 1
Linacs / Co 60 Megavolt Units 5 1 1 1 1 1
# of Brachytherapy units 3 1 1 1 1 1
# CT simulators 3 1 1 1 1 1
# of treatment planning computers 3 1 1 1 1 1
# of dosimetry/QA package 3 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 60 15 15 15 15 15

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

THERE WILL BE ONE NATIONAL CANCER CENTER IN PANAMA SINCE THERE ARE LESS THAN 5000 NEW CANCER CASES

Panama
Population 3,405,813
New Cancer Cases 4641
SURGERY % of patients needing surgery 52.68
Number (#) of patients needing surgery 2445
Average length of stay (ALOS) for surgery 4.87
# of surgery beds/day 32.58
CHEMOTHERAPY % of patients requiring chemo 79.03
# of patients requiring chemo 3668
ALOS for chemo 3.80
# of chemo beds/day 38.16
RADIOTHERAPY % of patients requiring RT 52.75
# of patients 2448
# of admitted patients 612
ALOS 5
# of RT beds/day 8.38
ONCOLOGY BEDS Maximum # of beds/day 80
# of 24 bed oncology wards 4
ONCOLOGISTS Hematologist Oncologists 2
Surgical Oncologists 7
Radiation / Clinical Oncologists 24
Urologic Oncologists 3
Gynecologic Oncologist 3
Pathologists 10
PHARMACY Onco-Pharmacists 16
Onco-Pharmacy Technicians 24
PALLIATIVE CARE Palliative Care Specialists 10
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 30
Medical Physicists 10
Linac Engineers 3
Radiation Oncology Nurses 10
Linacs / Co 60 Megavolt Units 5
# of Brachytherapy units 3
# CT simulators 3
# of treatment planning computers 3
# of dosimetry/QA package 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 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 5 most frequently occurring cancers