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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ROMANIA

Cancer All cancers
excl. non-melanoma
skin cancer
Lung Colorectal Urological Breast Gynecological Head & Neck Stomach Hematological Malignancies Pancreas Liver
New Cancer Cases 70262 10384 8696 8397 7929 6296 5086 4001 3706 2866 1971
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 41.74 25 70 73.75 100.00 56.67 44 33 0 10 5
Number (#) of patients needing surgery 29329 2596 6087 6193 7929 3568 2238 1320 0 287 99
Average length of stay (ALOS) for surgery 7.01 10 9 8 5 6.33 6.8 5 0 10 10
# of surgery beds/day 563.15 71.07 149.99 135.64 108.54 61.86 41.66 18.07 0.00 7.85 2.70
CHEMOTHERAPY % of patients requiring chemo 67.12 50 90 62.5 100 66.67 66 66 100 50 20
# of patients requiring chemo 47157.75 5192 7826 5248 7929 4198 3357 2641 3706 1433 394
ALOS for chemo 3.64 3 3 3.5 3 3 3.4 3 6.5 5 3
# of chemo beds/day 469.96 42.64 64.28 50.29 65.13 34.48 31.25 21.69 65.95 19.62 3.24
RADIOTHERAPY % of patients requiring RT 51.98 90 25 41.25 100 40 71 50 32.5 50 20
# of patients 36518.67 9346 2174 3464 7929 2518 3611 2001 1204 1433 394
# of admitted patients 9129.67 2336 544 866 1982 630 903 500 301 358 99
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 124.98 31.98 7.44 11.85 27.14 8.62 12.36 6.85 4.12 4.90 1.35
ONCOLOGY BEDS Maximum # of beds/day 1159 146 222 198 201 105 86 47 71 33 8
# of 24 bed oncology wards 49 7 10 9 9 5 4 2 3 2 1
ONCOLOGISTS Hematologist Oncologists 8 0 0 0 0 0 0 0 8 0 0
Surgical Oncologists 62 6 13 13 17 8 5 3 0 1 1
Radiation/Clinical Oncologists 352 52 44 42 40 32 26 21 19 15 10
Urologic Oncologists 17 0 0 17 0 0 0 0 0 0 0
Gynecologic Oncologist 13 0 0 0 0 13 0 0 0 0 0
Pathologists 141 21 18 17 16 13 11 9 8 6 4
PHARMACY Onco-Pharmacists 196 28 40 36 36 20 16 8 12 8 4
Onco-Pharmacy Technicians 294 42 60 54 54 30 24 12 18 12 6
PALLIATIVE CARE Palliative Care Specialists 141 21 18 17 16 13 11 9 8 6 4
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 439 113 27 42 96 31 44 25 15 18 5
Medical Physicists 147 38 9 14 32 11 15 9 5 6 2
Linac Engineers 37 10 3 4 8 3 4 3 2 2 1
Radiation Oncology Nurses 147 38 9 14 32 11 15 9 5 6 2
Linacs / Co 60 Megavolt Units 74 19 5 7 16 6 8 5 3 3 1
# of Brachytherapy units 37 10 3 4 8 3 4 3 2 2 1
# CT simulators 37 10 3 4 8 3 4 3 2 2 1
# of treatment planning computers 37 10 3 4 8 3 4 3 2 2 1
# of dosimetry/QA package 37 10 3 4 8 3 4 3 2 2 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 735 105 150 135 135 75 60 30 45 30 15

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2011

Bucharest Cluj-Napoca
Population 1677985 309136
New Cancer Cases 5520 1017
SURGERY % of patients needing surgery 41.74 41.74
Number (#) of patients needing surgery 2304 425
Average length of stay (ALOS) for surgery 7.01 7.01
# of surgery beds/day 44.24 8.15
CHEMOTHERAPY % of patients requiring chemo 67.12 67.12
# of patients requiring chemo 3705 683
ALOS for chemo 3.64 3.64
# of chemo beds/day 36.92 6.80
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 2869 529
# of admitted patients 717 132
ALOS 5 5
# of RT beds/day 9.82 1.81
ONCOLOGY BEDS Maximum # of beds/day 91 17
# of 24 bed oncology wards 4 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 5 1
Radiation/Clinical Oncologists 28 6
Urologic Oncologists 2 1
Gynecologic Oncologist 2 1
Pathologists 12 3
PHARMACY Onco-Pharmacists 16 4
Onco-Pharmacy Technicians 24 6
PALLIATIVE CARE Palliative Care Specialists 12 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 35 7
Medical Physicists 12 3
Linac Engineers 3 1
Radiation Oncology Nurses 12 3
Linacs / Co 60 Megavolt Units 6 2
# of Brachytherapy units 3 1
# CT simulators 3 1
# of treatment planning computers 3 1
# of dosimetry/QA package 3 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 60 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 & 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