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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN PARAGUAY

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Gynecological Lung Colorectum
New Cancer Cases 7957 1397 1224 1148 635 547
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 65.08 100.00 70 56.67 25 73.75
Number (#) of patients needing surgery 5179 1224 383 651 159 1030
Average length of stay (ALOS) for surgery 7.67 5 9 6.33 10 8
# of surgery beds/day 108.70 16.76 9.43 11.28 4.35 22.57
CHEMOTHERAPY % of patients requiring chemo 73.83 100 90 66.67 50 62.5
# of patients requiring chemo 5874.97 1224 492 765 318 873
ALOS for chemo 3.10 3 3 3 3 3.5
# of chemo beds/day 49.86 10.05 4.04 6.29 2.61 8.37
RADIOTHERAPY % of patients requiring RT 59.25 100 25 40 90 41.25
# of patients 4714.52 1224 137 459 572 576
# of admitted patients 1178.63 306 34 115 143 144
ALOS 5.00 5 5 5 5 5
# of RT beds/day 16.13 4.19 0.47 1.57 1.96 1.97
ONCOLOGY BEDS Maximum # of beds/day 175 31 14 20 9 33
# of 24 bed oncology wards 8 2 1 1 1 2
ONCOLOGISTS Surgical Oncologists 11 3 1 2 1 3
Radiation / Clinical Oncologists 40 7 3 6 4 7
Urologic Oncologists 3 0 0 0 0 3
Gynecologic Oncologist 3 0 0 3 0 0
Pathologists 16 3 2 3 2 3
PHARMACY Onco-Pharmacists 32 8 4 4 4 8
Onco-Pharmacy Technicians 48 12 6 6 6 12
PALLIATIVE CARE Palliative Care Specialists 16 3 2 3 2 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 57 15 2 6 7 7
Medical Physicists 19 5 1 2 3 3
Linac Engineers 5 2 1 1 1 1
Radiation Oncology Nurses 19 5 1 2 3 3
Linacs / Co 60 Megavolt Units 10 3 1 1 2 2
# of Brachytherapy units 5 2 1 1 1 1
# CT simulators 5 2 1 1 1 1
# of treatment planning computers 5 2 1 1 1 1
# of dosimetry/QA package 5 2 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 120 30 15 15 15 30

CANCER INCIDENCE IN DEPARTMENTS BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2010

Central Alto Parana
Population 2068100 753700
New Cancer Cases 2639 962
SURGERY % of patients needing surgery 65.08 65.08
Number (#) of patients needing surgery 1718 626
Average length of stay (ALOS) for surgery 7.67 7.67
# of surgery beds/day 36.05 13.14
CHEMOTHERAPY % of patients requiring chemo 73.83 73.83
# of patients requiring chemo 1948 710
ALOS for chemo 3.10 3.10
# of chemo beds/day 16.54 6.03
RADIOTHERAPY % of patients requiring RT 59.25 59.25
# of patients 1564 570
# of admitted patients 391 142
ALOS 5 5
# of RT beds/day 5.35 1.95
ONCOLOGY BEDS Maximum # of beds/day 58 22
# of 24 bed oncology wards 3 1
ONCOLOGISTS Surgical Oncologists 4 2
Radiation / Clinical Oncologists 14 5
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 19 7
Medical Physicists 7 3
Linac Engineers 2 1
Radiation Oncology Nurses 7 3
Linacs / Co 60 Megavolt Units 4 2
# 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 + 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