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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN PUERTO RICO

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Colorectal Head and Neck Hematological Gynecological Lung Pancreas Liver Stomach
New Cancer Cases 11822 3138 1642 1490 1190 925 851 598 279 277 270
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 41.74 73.75 100 70 44 0 56.67 25 10 5 33
Number (#) of patients needing surgery 4935 2314 1642 1043 524 0 482 150 28 14 89
Average length of stay (ALOS) for surgery 7.01 8 5 9 6.8 0 6.33 10 10 10 5
# of surgery beds/day 94.75 50.69 22.48 25.70 9.75 0.00 8.36 4.09 0.76 0.38 1.22
CHEMOTHERAPY % of patients requiring chemo 67.12 62.5 100 90 66 100 66.67 50 50 20 66
# of patients requiring chemo 7934.57 1961 1642 1341 785 925 567 299 140 55 178
ALOS for chemo 3.64 3.5 3 3 3.4 6.5 3 3 5 3 3
# of chemo beds/day 79.07 18.79 13.49 11.01 7.31 16.46 4.66 2.46 1.91 0.46 1.46
RADIOTHERAPY % of patients requiring RT 51.98 41.25 100 25 71 32.5 40 90 50 20 50
# of patients 6144.48 1294 1642 373 845 301 340 538 140 55 135
# of admitted patients 1536.12 324 411 93 211 75 85 135 35 14 34
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 21.03 4.43 5.62 1.27 2.89 1.03 1.16 1.84 0.48 0.19 0.46
ONCOLOGY BEDS Maximum # of beds/day 195 74 42 38 20 18 15 9 4 2 4
# 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 11 5 4 3 2 0 2 1 1 1 1
Radiation/Clinical Oncologists 60 16 9 8 6 5 5 3 2 2 2
Urologic Oncologists 7 7 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 2 0 0 0 0 0 2 0 0 0 0
Pathologists 24 7 4 3 3 2 2 2 1 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 24 7 4 3 3 2 2 2 1 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 74 16 20 5 11 4 5 7 2 1 2
Medical Physicists 25 6 7 2 4 2 2 3 1 1 1
Linac Engineers 7 2 2 1 1 1 1 1 1 1 1
Radiation Oncology Nurses 25 6 7 2 4 2 2 3 1 1 1
Linacs / Co 60 Megavolt Units 13 3 4 1 2 1 1 2 1 1 1
# of Brachytherapy units 7 2 2 1 1 1 1 1 1 1 1
# CT simulators 7 2 2 1 1 1 1 1 1 1 1
# of treatment planning computers 7 2 2 1 1 1 1 1 1 1 1
# of dosimetry/QA package 7 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

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

San Juan Bayamón
Population 381931 185996
New Cancer Cases 1207 588
SURGERY % of patients needing surgery 41.74 41.74
Number (#) of patients needing surgery 504 245
Average length of stay (ALOS) for surgery 7.01 7.01
# of surgery beds/day 9.67 4.71
CHEMOTHERAPY % of patients requiring chemo 67.12 67.12
# of patients requiring chemo 810 395
ALOS for chemo 3.64 3.64
# of chemo beds/day 8.07 3.93
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 627 306
# of admitted patients 157 76
ALOS 5 5
# of RT beds/day 2.15 1.05
ONCOLOGY BEDS Maximum # of beds/day 20 10
# of 24 bed oncology wards 1 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 1
Radiation/Clinical Oncologists 7 3
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 8 4
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, 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 10 cancers