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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN RWANDA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Urological Liver Hematological Breast
New Cancer Cases 8263 1633 771 747 618 576
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 47.08 56.67 73.75 5 0 100
Number (#) of patients needing surgery 3890 925 569 37 0 576
Average length of stay (ALOS) for surgery 5.87 6.33 8 10 0 5
# of surgery beds/day 62.49 16.05 12.45 1.02 0.00 7.89
CHEMOTHERAPY % of patients requiring chemo 69.83 66.67 62.5 20 100 100
# of patients requiring chemo 5770.38 1089 482 149 618 576
ALOS for chemo 3.80 3 3.5 3 6.5 3
# of chemo beds/day 60.03 8.94 4.62 1.23 11.00 4.73
RADIOTHERAPY % of patients requiring RT 46.75 40 41.25 20 32.5 100
# of patients 3862.95 653 318 149 201 576
# of admitted patients 965.74 163 80 37 50 144
ALOS 5.00 5 5 5 5 5
# of RT beds/day 13.22 2.24 1.09 0.51 0.69 1.97
ONCOLOGY BEDS Maximum # of beds/day 136 28 19 3 12 15
# of 24 bed oncology wards 6 2 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 2 0
Surgical Oncologists 9 2 2 1 0 2
Radiation/Clinical Oncologists 42 9 4 4 4 3
Urologic Oncologists 2 0 2 0 0 0
Gynecologic Oncologist 4 4 0 0 0 0
Pathologists 17 4 2 2 2 2
PHARMACY Onco-Pharmacists 24 8 4 4 4 4
Onco-Pharmacy Technicians 36 12 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 17 4 2 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 47 8 4 2 3 7
Medical Physicists 16 3 2 1 1 3
Linac Engineers 4 1 1 1 1 1
Radiation Oncology Nurses 16 3 2 1 1 3
Linacs / Co 60 Megavolt Units 8 2 1 1 1 2
# of Brachytherapy units 4 1 1 1 1 1
# CT simulators 4 1 1 1 1 1
# of treatment planning computers 4 1 1 1 1 1
# of dosimetry/QA package 4 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 90 30 15 15 15 15

RESOURCES NEEDED IN PROVINCES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2012

Eastern Southern
Population 2595703 2589975
New Cancer Cases 1903 1899
SURGERY % of patients needing surgery 47.08 47.08
Number (#) of patients needing surgery 896 894
Average length of stay (ALOS) for surgery 5.87 5.87
# of surgery beds/day 14.39 14.36
CHEMOTHERAPY % of patients requiring chemo 69.83 69.83
# of patients requiring chemo 1329 1326
ALOS for chemo 3.80 3.80
# of chemo beds/day 13.83 13.80
RADIOTHERAPY % of patients requiring RT 46.75 46.75
# of patients 890 888
# of admitted patients 222 222
ALOS 5 5
# of RT beds/day 3.04 3.04
ONCOLOGY BEDS Maximum # of beds/day 32 32
# of 24 bed oncology wards 2 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 2
Radiation/Clinical Oncologists 10 10
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 4 4
PHARMACY Onco-Pharmacists 8 8
Onco-Pharmacy Technicians 12 12
PALLIATIVE CARE Palliative Care Specialists 4 4
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 11 11
Medical Physicists 4 4
Linac Engineers 1 1
Radiation Oncology Nurses 4 4
Linacs / Co 60 Megavolt Units 2 2
# 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 30 30

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 5 cancers