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U.S. National Institutes of Health
Last Updated: 01/08/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN PHILIPPINES

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Lung Gynecological Liver Head & Neck Colorectal Hematological Urological Stomach Brain, nervous system
New Cancer Cases 77184 11524 10643 8225 6840 6411 5385 5195 4674 2909 2121
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 100.00 25 56.67 5 44 70 0 73.75 33 100
Number (#) of patients needing surgery 39164 11524 2661 4661 342 2821 3770 0 3447 960 2121
Average length of stay (ALOS) for surgery 6.91 5 10 6.33 10 6.8 9 0 8 5 9
# of surgery beds/day 741.29 157.75 72.85 80.82 9.36 52.52 92.88 0.00 75.50 13.14 52.26
CHEMOTHERAPY % of patients requiring chemo 72.12 100 50 66.67 20 66 90 100 62.5 66 100
# of patients requiring chemo 55662.79 11524 5322 5484 1368 4231 4847 5195 2921 1920 2121
ALOS for chemo 3.44 3 3 3 3 3.4 3 6.5 3.5 3 3
# of chemo beds/day 524.24 94.65 43.71 45.04 11.24 39.39 39.81 92.45 27.99 15.77 17.42
RADIOTHERAPY % of patients requiring RT 56.98 100 90 40 20 71 25 32.5 41.25 50 100
# of patients 43975.58 11524 9579 3290 1368 4552 1346 1688 1928 1455 2121
# of admitted patients 10993.90 2881 2395 823 342 1138 337 422 482 364 530
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 150.50 39.44 32.78 11.26 4.68 15.58 4.61 5.78 6.60 4.98 7.26
ONCOLOGY BEDS Maximum # of beds/day 1417 292 150 138 26 108 138 99 111 34 77
# of 24 bed oncology wards 60 13 7 6 2 5 6 5 5 2 4
ONCOLOGISTS Hematologist Oncologists 11 0 0 0 0 0 0 11 0 0 0
Surgical Oncologists 82 25 6 10 1 6 8 0 8 2 5
Radiation/Clinical Oncologists 386 58 54 42 35 33 27 26 24 15 11
Urologic Oncologists 10 0 0 0 0 0 0 0 10 0 0
Gynecologic Oncologist 17 0 0 17 0 0 0 0 0 0 0
Neuro-Oncologists 5 0 0 0 0 0 0 0 0 0 5
Pathologists 155 24 22 17 14 13 11 11 10 6 5
PHARMACY Onco-Pharmacists 240 52 28 24 8 20 24 20 20 8 16
Onco-Pharmacy Technicians 360 78 42 36 12 30 36 30 30 12 24
PALLIATIVE CARE Palliative Care Specialists 155 24 22 17 14 13 11 11 10 6 5
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 528 139 115 40 17 55 17 21 24 18 26
Medical Physicists 176 47 39 14 6 19 6 7 8 6 9
Linac Engineers 44 12 10 4 2 5 2 2 2 2 3
Radiation Oncology Nurses 176 47 39 14 6 19 6 7 8 6 9
Linacs / Co 60 Megavolt Units 88 24 20 7 3 10 3 4 4 3 5
# of Brachytherapy units 44 12 10 4 2 5 2 2 2 2 3
# CT simulators 44 12 10 4 2 5 2 2 2 2 3
# of treatment planning computers 44 12 10 4 2 5 2 2 2 2 3
# of dosimetry/QA package 44 12 10 4 2 5 2 2 2 2 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 900 195 105 90 30 75 90 75 75 30 60

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

Quezon City Manila
Population 2761720 1652171
New Cancer Cases 2360 1412
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 1198 716
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 22.67 13.56
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 1702 1018
ALOS for chemo 3.44 3.44
# of chemo beds/day 16.03 9.59
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 1345 804
# of admitted patients 336 201
ALOS 5 5
# of RT beds/day 4.60 2.75
ONCOLOGY BEDS Maximum # of beds/day 44 26
# of 24 bed oncology wards 2 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 3 2
Radiation/Clinical Oncologists 12 8
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 5 3
PHARMACY Onco-Pharmacists 8 8
Onco-Pharmacy Technicians 12 12
PALLIATIVE CARE Palliative Care Specialists 5 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 17 10
Medical Physicists 6 4
Linac Engineers 2 1
Radiation Oncology Nurses 6 4
Linacs / Co 60 Megavolt Units 3 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 30 30

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 & Neck 50 9 50 3 75 5
Lip, oral cavity Head & Neck 40 9 80 3 80 5
Nasopharynx Head & Neck 0 0 100 3 100 5
Other pharynx Head & Neck 40 9 80 3 80 5
Thyroid Head & 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
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 top 10 cancers