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U.S. National Institutes of Health
Last Updated: 09/09/13

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN PUERTO RICO

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Colorectal Head & Neck Hematological Malignancies Lung Stomach Gynecological Esophagus Liver
New Cancer Cases 12756 3925 1778 1399 821 808 721 594 590 282 267
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 42.74 73.75 100.00 70 44 0 25 33 56.67 20 5
Number (#) of patients needing surgery 5452.13 2895 1778 979 361 0 180 196 334 56 13
Average length of stay (ALOS) for surgery 6.91 8 5 9 6.8 0 10 5 6.33 9 10
# of surgery beds/day 103.20 63.40 24.34 24.13 6.73 0.00 4.93 2.68 5.80 1.39 0.37
CHEMOTHERAPY % of patients requiring chemo 71.12 62.5 100 90 66 100 50 66 66.67 90 20
# of patients requiring chemo 9071.68 2453 1778 1259 542 808 361 392 393 254 53
ALOS for chemo 3.44 3.5 3 3 3.4 6.5 3 3 3 3 3
# of chemo beds/day 85.44 23.51 14.60 10.34 5.04 14.38 2.96 3.22 3.23 2.08 0.44
RADIOTHERAPY % of patients requiring RT 55.98 41.25 100 25 71 32.5 90 50 40 90 20
# of patients 7140.17 1619 1778 350 583 263 649 297 236 254 53
# of admitted patients 1785.04 405 445 87 146 66 162 74 59 63 13
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 24.44 5.54 6.08 1.20 1.99 0.90 2.22 1.02 0.81 0.87 0.18
ONCOLOGY BEDS Maximum # of beds/day 214 93 46 36 14 16 11 7 10 5 1
# of 24 bed oncology wards 9 4 2 2 1 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 0 2 0 0 0 0 0
Surgical Oncologists 12 7 4 3 1 0 1 1 1 1 1
Radiation/Clinical Oncologists 64 20 9 7 5 5 4 3 3 2 2
Urologic Oncologists 8 8 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 2 0 0 0 0 0 0 0 2 0 0
Pathologists 26 8 4 3 2 2 2 2 2 1 1
PHARMACY Onco-Pharmacists 36 16 8 8 4 4 4 4 4 4 4
Onco-Pharmacy Technicians 54 24 12 12 6 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 26 8 4 3 2 2 2 2 2 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 86 20 22 5 7 4 8 4 3 4 1
Medical Physicists 29 7 8 2 3 2 3 2 1 2 1
Linac Engineers 8 2 2 1 1 1 1 1 1 1 1
Radiation Oncology Nurses 29 7 8 2 3 2 3 2 1 2 1
Linacs / Co 60 Megavolt Units 15 4 4 1 2 1 2 1 1 1 1
# of Brachytherapy units 8 2 2 1 1 1 1 1 1 1 1
# CT simulators 8 2 2 1 1 1 1 1 1 1 1
# of treatment planning computers 8 2 2 1 1 1 1 1 1 1 1
# of dosimetry/QA package 8 2 2 1 1 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 135 60 30 30 15 15 15 15 15 15 15

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

San Juan Bayamon
Population 381931 185996
New Cancer Cases 1230 599
SURGERY % of patients needing surgery 42.74 42.74
# of patients needing surgery 526 256
ALOS for surgery 6.91 6.91
# of surgery beds/day 9.95 4.85
CHEMOTHERAPY % of patients requiring chemo 71.12 71.12
# of patients requiring chemo 875 426
ALOS for chemo 3.44 3.44
# of chemo beds/day 8.24 4.01
RADIOTHERAPY % of patients requiring RT 55.975 55.975
# of patients 688 335
# of admitted patients 172 84
ALOS 5 5
# of RT beds/day 2.36 1.15
ONCOLOGY BEDS Maximum # of beds/day 21 11
# of 24 bed oncology wards 1 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 1
Radiation/Clinical Oncologists 7 4
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 3 2
PHARMACY Onco-Pharmacists 4 4
Onco-Pharmacy Technicians 6 6
PALLIATIVE CARE Palliative Care Specialists 3 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 9 5
Medical Physicists 3 2
Linac Engineers 1 1
Radiation Oncology Nurses 3 2
Linacs / Co 60 Megavolt Units 2 1
# of Brachytherapy units 1 1
# CT simulators 1 1
# of treatment planning computers 1 1
# of dosimetry/QA package 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 15 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 or beds for 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 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 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 = 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 & 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
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