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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN RUSSIA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Colorectal Breast Lung Gynecological Stomach Head and Neck Hematological Pancreas Melanoma of skin
New Cancer Cases 458382 61381 59928 57502 55805 49687 38417 31395 25137 14512 8717
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 73.75 70 100 25 56.67 33 44 0 10 100
Number (#) of patients needing surgery 234883 45268 41950 57502 13951 28156 12678 13814 0 1451 8717
Average length of stay (ALOS) for surgery 6.31 8 9 5 10 6.33 5 6.8 0 10 3
# of surgery beds/day 4059.94 991.51 1033.67 787.16 381.96 488.22 173.55 257.18 0.00 39.73 71.60
CHEMOTHERAPY % of patients requiring chemo 70.12 62.5 90 100 50 66.67 66 66 100 50 50
# of patients requiring chemo 321403.71 38363 53935 57502 27903 33126 25355 20721 25137 7256 4359
ALOS for chemo 3.64 3.5 3 3 3 3 3 3.4 6.5 5 3
# of chemo beds/day 3203.04 367.61 443.00 472.30 229.18 272.08 208.26 192.88 447.34 99.33 35.80
RADIOTHERAPY % of patients requiring RT 54.98 41.25 25 100 90 40 50 71 32.5 50 50
# of patients 251995.50 25320 14982 57502 50225 19875 19209 22290 8170 7256 4359
# of admitted patients 62998.88 6330 3746 14376 12556 4969 4802 5573 2042 1814 1090
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 862.41 86.65 51.27 196.79 171.88 68.02 65.74 76.28 27.96 24.83 14.92
ONCOLOGY BEDS Maximum # of beds/day 8126 1446 1528 1457 784 829 448 527 476 164 123
# of 24 bed oncology wards 339 61 64 61 33 35 19 22 20 7 6
ONCOLOGISTS Hematologist Oncologists 51 0 0 0 0 0 0 0 51 0 0
Surgical Oncologists 490 95 88 120 30 59 27 29 0 4 19
Radiation/Clinical Oncologists 2292 307 300 288 280 249 193 157 126 73 44
Urologic Oncologists 123 123 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 100 0 0 0 0 100 0 0 0 0 0
Pathologists 917 123 120 116 112 100 77 63 51 30 18
PHARMACY Onco-Pharmacists 1356 244 256 244 132 140 76 88 80 28 24
Onco-Pharmacy Technicians 2034 366 384 366 198 210 114 132 120 42 36
PALLIATIVE CARE Palliative Care Specialists 917 123 120 116 112 100 77 63 51 30 18
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 3024 304 180 691 603 239 231 268 99 88 53
Medical Physicists 1008 102 60 231 201 80 77 90 33 30 18
Linac Engineers 252 26 15 58 51 20 20 23 9 8 5
Radiation Oncology Nurses 1008 102 60 231 201 80 77 90 33 30 18
Linacs / Co 60 Megavolt Units 504 51 30 116 101 40 39 45 17 15 9
# of Brachytherapy units 252 26 15 58 51 20 20 23 9 8 5
# CT simulators 252 26 15 58 51 20 20 23 9 8 5
# of treatment planning computers 252 26 15 58 51 20 20 23 9 8 5
# of dosimetry/QA package 252 26 15 58 51 20 20 23 9 8 5
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 5085 915 960 915 495 525 285 330 300 105 90

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2014

Moscow Saint-Peterburg
Population 11971664 5131942
New Cancer Cases 38455 16485
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 19705 8447
Average length of stay (ALOS) for surgery 6.31 6.31
# of surgery beds/day 340.60 146.01
CHEMOTHERAPY % of patients requiring chemo 70.12 70.12
# of patients requiring chemo 26963 11559
ALOS for chemo 3.64 3.64
# of chemo beds/day 268.71 115.19
RADIOTHERAPY % of patients requiring RT 54.98 54.98
# of patients 21141 9063
# of admitted patients 5285 2266
ALOS 5 5
# of RT beds/day 72.35 31.02
ONCOLOGY BEDS Maximum # of beds/day 682 293
# of 24 bed oncology wards 29 13
ONCOLOGISTS Hematologist Oncologists 5 2
Surgical Oncologists 42 18
Radiation/Clinical Oncologists 193 83
Urologic Oncologists 11 5
Gynecologic Oncologist 9 4
Pathologists 77 33
PHARMACY Onco-Pharmacists 116 52
Onco-Pharmacy Technicians 174 78
PALLIATIVE CARE Palliative Care Specialists 77 33
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 254 109
Medical Physicists 85 37
Linac Engineers 22 10
Radiation Oncology Nurses 85 37
Linacs / Co 60 Megavolt Units 43 19
# of Brachytherapy units 22 10
# CT simulators 22 10
# of treatment planning computers 22 10
# of dosimetry/QA package 22 10
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 435 195

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