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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN PANAMA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Gynecological Colorectal Hematological
New Cancer Cases 5415 851 789 605 454 450
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 60.08 73.75 100 56.67 70 0
Number (#) of patients needing surgery 3254 628 789 343 318 0
Average length of stay (ALOS) for surgery 5.67 8 5 6.33 9 0
# of surgery beds/day 50.48 13.75 10.80 5.94 7.83 0.00
CHEMOTHERAPY % of patients requiring chemo 83.83 62.5 100 66.67 90 100
# of patients requiring chemo 4539.61 532 789 403 409 450
ALOS for chemo 3.80 3.5 3 3 3 6.5
# of chemo beds/day 47.23 5.10 6.48 3.31 3.36 8.01
RADIOTHERAPY % of patients requiring RT 47.75 41.25 100 40 25 32.5
# of patients 2585.66 351 789 242 114 146
# of admitted patients 646.42 88 197 61 28 37
ALOS 5.00 5 5 5 5 5
# of RT beds/day 8.85 1.20 2.70 0.83 0.39 0.50
ONCOLOGY BEDS Maximum # of beds/day 107 21 20 11 12 9
# of 24 bed oncology wards 5 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 1 0 0 0 0 1
Surgical Oncologists 7 2 2 1 1 0
Radiation/Clinical Oncologists 28 5 4 4 3 3
Urologic Oncologists 2 2 0 0 0 0
Gynecologic Oncologist 2 0 0 2 0 0
Pathologists 11 2 2 2 1 1
PHARMACY Onco-Pharmacists 20 4 4 4 4 4
Onco-Pharmacy Technicians 30 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 11 2 2 2 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 32 5 10 3 2 2
Medical Physicists 11 2 4 1 1 1
Linac Engineers 3 1 1 1 1 1
Radiation Oncology Nurses 11 2 4 1 1 1
Linacs / Co 60 Megavolt Units 6 1 2 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 75 15 15 15 15 15

RESOURCES NEEDED IN PROVINCES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2010

Panamá (province) Chiriquí
Population 1713070 416873
New Cancer Cases 2560 623
SURGERY % of patients needing surgery 60.08 60.08
Number (#) of patients needing surgery 1538 374
Average length of stay (ALOS) for surgery 5.67 5.67
# of surgery beds/day 23.86 5.81
CHEMOTHERAPY % of patients requiring chemo 83.83 83.83
# of patients requiring chemo 2146 522
ALOS for chemo 3.80 3.80
# of chemo beds/day 22.33 5.43
RADIOTHERAPY % of patients requiring RT 47.75 47.75
# of patients 1222 297
# of admitted patients 306 74
ALOS 5 5
# of RT beds/day 4.18 1.02
ONCOLOGY BEDS Maximum # of beds/day 51 13
# of 24 bed oncology wards 3 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 4 1
Radiation/Clinical Oncologists 13 4
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 6 2
PHARMACY Onco-Pharmacists 12 4
Onco-Pharmacy Technicians 18 6
PALLIATIVE CARE Palliative Care Specialists 6 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 15 4
Medical Physicists 5 2
Linac Engineers 2 1
Radiation Oncology Nurses 5 2
Linacs / Co 60 Megavolt Units 3 1
# of Brachytherapy units 2 1
# CT simulators 2 1
# of treatment planning computers 2 1
# of dosimetry/QA package 2 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 45 15

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 5 cancers