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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ROMANIA

Cancer All cancers
excl. non-melanoma
skin cancer
Lung Urological Colorectal Breast Gynecological Head and Neck Hematological Stomach Pancreas Liver
New Cancer Cases 78760 11644 10637 10256 8981 7732 6134 4278 4075 3082 2214
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 41.74 25 73.75 70 100 56.67 44 0 33 10 5
Number (#) of patients needing surgery 32876 2911 7845 7179 8981 4381 2699 0 1345 308 111
Average length of stay (ALOS) for surgery 7.01 10 8 9 5 6.33 6.8 0 5 10 10
# of surgery beds/day 631.26 79.70 171.82 176.90 122.94 75.97 50.25 0.00 18.41 8.44 3.03
CHEMOTHERAPY % of patients requiring chemo 67.12 50 62.5 90 100 66.67 66 100 66 50 20
# of patients requiring chemo 52861.35 5822 6648 9230 8981 5155 4048 4278 2690 1541 443
ALOS for chemo 3.64 3 3.5 3 3 3 3.4 6.5 3 5 3
# of chemo beds/day 526.80 47.82 63.71 75.81 73.77 42.34 37.69 76.13 22.09 21.10 3.64
RADIOTHERAPY % of patients requiring RT 51.98 90 41.25 25 100 40 71 32.5 50 50 20
# of patients 40935.51 10480 4388 2564 8981 3093 4355 1390 2038 1541 443
# of admitted patients 10233.88 2620 1097 641 2245 773 1089 348 509 385 111
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 140.09 35.86 15.02 8.77 30.74 10.58 14.90 4.76 6.97 5.27 1.52
ONCOLOGY BEDS Maximum # of beds/day 1299 164 251 262 228 129 103 81 48 35 9
# of 24 bed oncology wards 55 7 11 11 10 6 5 4 2 2 1
ONCOLOGISTS Hematologist Oncologists 9 0 0 0 0 0 0 9 0 0 0
Surgical Oncologists 69 7 17 15 19 10 6 0 3 1 1
Radiation/Clinical Oncologists 394 59 54 52 45 39 31 22 21 16 12
Urologic Oncologists 22 0 22 0 0 0 0 0 0 0 0
Gynecologic Oncologist 16 0 0 0 0 16 0 0 0 0 0
Pathologists 158 24 22 21 18 16 13 9 9 7 5
PHARMACY Onco-Pharmacists 220 28 44 44 40 24 20 16 8 8 4
Onco-Pharmacy Technicians 330 42 66 66 60 36 30 24 12 12 6
PALLIATIVE CARE Palliative Care Specialists 158 24 22 21 18 16 13 9 9 7 5
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 492 126 53 31 108 38 53 17 25 19 6
Medical Physicists 164 42 18 11 36 13 18 6 9 7 2
Linac Engineers 41 11 5 3 9 4 5 2 3 2 1
Radiation Oncology Nurses 164 42 18 11 36 13 18 6 9 7 2
Linacs / Co 60 Megavolt Units 82 21 9 6 18 7 9 3 5 4 1
# of Brachytherapy units 41 11 5 3 9 4 5 2 3 2 1
# CT simulators 41 11 5 3 9 4 5 2 3 2 1
# of treatment planning computers 41 11 5 3 9 4 5 2 3 2 1
# of dosimetry/QA package 41 11 5 3 9 4 5 2 3 2 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 825 105 165 165 150 90 75 60 30 30 15

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2011

Bucharest Cluj-Napoca
Population 1883425 324576
New Cancer Cases 6936 1196
SURGERY % of patients needing surgery 41.74 41.74
Number (#) of patients needing surgery 2895 499
Average length of stay (ALOS) for surgery 7.01 7.01
# of surgery beds/day 55.59 9.59
CHEMOTHERAPY % of patients requiring chemo 67.12 67.12
# of patients requiring chemo 4655 803
ALOS for chemo 3.64 3.64
# of chemo beds/day 46.39 8.00
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 3605 622
# of admitted patients 901 155
ALOS 5 5
# of RT beds/day 12.34 2.13
ONCOLOGY BEDS Maximum # of beds/day 115 20
# of 24 bed oncology wards 5 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 7 2
Radiation/Clinical Oncologists 35 6
Urologic Oncologists 2 1
Gynecologic Oncologist 2 1
Pathologists 14 3
PHARMACY Onco-Pharmacists 20 4
Onco-Pharmacy Technicians 30 6
PALLIATIVE CARE Palliative Care Specialists 14 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 44 8
Medical Physicists 15 3
Linac Engineers 4 1
Radiation Oncology Nurses 15 3
Linacs / Co 60 Megavolt Units 8 2
# of Brachytherapy units 4 1
# CT simulators 4 1
# of treatment planning computers 4 1
# of dosimetry/QA package 4 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 75 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