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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN RWANDA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Liver Hematological Malignancies Urological Kaposi sarcoma
New Cancer Cases 6598 1176 625 544 454 423
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 27.08 56.67 5 0 73.75 0
Number (#) of patients needing surgery 1786.96 666 31 0 335 0
Average length of stay (ALOS) for surgery 4.87 6.33 10 0 8 0
# of surgery beds/day 23.81 11.56 0.86 0.00 7.33 0.00
CHEMOTHERAPY % of patients requiring chemo 63.83 66.67 20 100 62.5 70
# of patients requiring chemo 4211.72 784 125 544 284 296
ALOS for chemo 3.80 3 3 6.5 3.5 3
# of chemo beds/day 43.82 6.44 1.03 9.68 2.72 2.43
RADIOTHERAPY % of patients requiring RT 36.75 40 20 32.5 41.25 50
# of patients 2424.77 470 125 177 187 212
# of admitted patients 606.19 118 31 44 47 53
ALOS 5.00 5 5 5 5 5
# of RT beds/day 8.30 1.61 0.43 0.61 0.64 0.72
ONCOLOGY BEDS Maximum # of beds/day 76 20 3 11 11 4
# of 24 bed oncology wards 4 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 2 0 0
Surgical Oncologists 4 2 1 0 1 0
Radiation/Clinical Oncologists 33 6 4 3 3 3
Urologic Oncologists 1 0 0 0 1 0
Gynecologic Oncologist 3 3 0 0 0 0
Pathologists 14 3 2 2 1 1
PHARMACY Onco-Pharmacists 16 4 4 4 4 4
Onco-Pharmacy Technicians 24 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 14 3 2 2 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 30 6 2 3 3 3
Medical Physicists 10 2 1 1 1 1
Linac Engineers 3 1 1 1 1 1
Radiation Oncology Nurses 10 2 1 1 1 1
Linacs / Co 60 Megavolt Units 5 1 1 1 1 1
# of Brachytherapy units 3 1 1 1 1 1
# CT simulators 3 1 1 1 1 1
# of treatment planning computers 3 1 1 1 1 1
# of dosimetry/QA package 3 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 60 15 15 15 15 15

CANCER INCIDENCE ON MOST POPULOUS CITY BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2012

Kigali
Population 1135428
New Cancer Cases 771
SURGERY % of patients needing surgery 27.08
# of patients needing surgery 209
ALOS for surgery 4.87
# of surgery beds/day 2.78
CHEMOTHERAPY % of patients requiring chemo 63.83
# of patients requiring chemo 492
ALOS for chemo 3.80
# of chemo beds/day 5.12
RADIOTHERAPY % of patients requiring RT 36.75
# of patients 283
# of admitted patients 71
ALOS 5
# of RT beds/day 0.97
ONCOLOGY BEDS Maximum # of beds/day 9
# of 24 bed oncology wards 1
ONCOLOGISTS Hematologist Oncologists 1
Surgical Oncologists 1
Radiation/Clinical Oncologists 4
Urologic Oncologists 1
Gynecologic Oncologist 1
Pathologists 2
PHARMACY Onco-Pharmacists 4
Onco-Pharmacy Technicians 6
PALLIATIVE CARE Palliative Care Specialists 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 4
Medical Physicists 2
Linac Engineers 1
Radiation Oncology Nurses 2
Linacs / Co 60 Megavolt Units 1
# of Brachytherapy units 1
# CT simulators 1
# of treatment planning computers 1
# of dosimetry/QA package 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 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