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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN SERBIA

Cancer All cancers
excl. non-melanoma
skin cancer
Lung Urological Colorectal Breast Gynecological Hematological Head and Neck Stomach Brain, nervous system Pancreas
New Cancer Cases 42221 7263 6387 5513 5422 3880 2428 2422 1462 1265 1254
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 25 73.75 70 100 56.67 0 44 33 100 10
Number (#) of patients needing surgery 21635 1816 4710 3859 5422 2199 0 1066 482 1265 125
Average length of stay (ALOS) for surgery 6.91 10 8 9 5 6.33 0 6.8 5 9 10
# of surgery beds/day 409.50 49.71 103.17 95.09 74.22 38.12 0.00 19.84 6.60 31.17 3.43
CHEMOTHERAPY % of patients requiring chemo 75.12 50 62.5 90 100 66.67 100 66 66 100 50
# of patients requiring chemo 31715.15 3632 3992 4962 5422 2587 2428 1599 965 1265 627
ALOS for chemo 3.64 3 3.5 3 3 3 6.5 3.4 3 3 5
# of chemo beds/day 316.07 29.83 38.25 40.75 44.53 21.25 43.21 14.88 7.93 10.39 8.58
RADIOTHERAPY % of patients requiring RT 59.98 90 41.25 25 100 40 32.5 71 50 100 50
# of patients 25322.04 6537 2635 1378 5422 1552 789 1720 731 1265 627
# of admitted patients 6330.51 1634 659 345 1356 388 197 430 183 316 157
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 86.66 22.37 9.02 4.72 18.56 5.31 2.70 5.89 2.50 4.33 2.15
ONCOLOGY BEDS Maximum # of beds/day 813 102 151 141 138 65 46 41 18 46 15
# of 24 bed oncology wards 34 5 7 6 6 3 2 2 1 2 1
ONCOLOGISTS Hematologist Oncologists 5 0 0 0 0 0 5 0 0 0 0
Surgical Oncologists 46 4 10 9 12 5 0 3 2 3 1
Radiation/Clinical Oncologists 212 37 32 28 28 20 13 13 8 7 7
Urologic Oncologists 13 0 13 0 0 0 0 0 0 0 0
Gynecologic Oncologist 8 0 0 0 0 8 0 0 0 0 0
Neuro-Oncologists 3 0 0 0 0 0 0 0 0 3 0
Pathologists 85 15 13 12 11 8 5 5 3 3 3
PHARMACY Onco-Pharmacists 136 20 28 24 24 12 8 8 4 8 4
Onco-Pharmacy Technicians 204 30 42 36 36 18 12 12 6 12 6
PALLIATIVE CARE Palliative Care Specialists 85 15 13 12 11 8 5 5 3 3 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 304 79 32 17 66 19 10 21 9 16 8
Medical Physicists 102 27 11 6 22 7 4 7 3 6 3
Linac Engineers 26 7 3 2 6 2 1 2 1 2 1
Radiation Oncology Nurses 102 27 11 6 22 7 4 7 3 6 3
Linacs / Co 60 Megavolt Units 51 14 6 3 11 4 2 4 2 3 2
# of Brachytherapy units 26 7 3 2 6 2 1 2 1 2 1
# CT simulators 26 7 3 2 6 2 1 2 1 2 1
# of treatment planning computers 26 7 3 2 6 2 1 2 1 2 1
# of dosimetry/QA package 26 7 3 2 6 2 1 2 1 2 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 510 75 105 90 90 45 30 30 15 30 15

RESOURCES NEEDED IN DISTRICTS BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2012

Central Serbia Vojvodina
Population 5277060 1922017
New Cancer Cases 22629 8242
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 11595 4223
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 219.48 79.94
CHEMOTHERAPY % of patients requiring chemo 75.12 75.12
# of patients requiring chemo 16998 6191
ALOS for chemo 3.64 3.64
# of chemo beds/day 169.40 61.70
RADIOTHERAPY % of patients requiring RT 59.98 59.98
# of patients 13572 4943
# of admitted patients 3393 1236
ALOS 5 5
# of RT beds/day 46.45 16.92
ONCOLOGY BEDS Maximum # of beds/day 436 159
# of 24 bed oncology wards 19 7
ONCOLOGISTS Hematologist Oncologists 3 1
Surgical Oncologists 25 9
Radiation/Clinical Oncologists 114 42
Urologic Oncologists 7 3
Gynecologic Oncologist 5 2
Neuro-Oncologists 2 1
Pathologists 46 17
PHARMACY Onco-Pharmacists 76 28
Onco-Pharmacy Technicians 114 42
PALLIATIVE CARE Palliative Care Specialists 46 17
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 163 60
Medical Physicists 55 20
Linac Engineers 14 5
Radiation Oncology Nurses 55 20
Linacs / Co 60 Megavolt Units 28 10
# of Brachytherapy units 14 5
# CT simulators 14 5
# of treatment planning computers 14 5
# of dosimetry/QA package 14 5
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 285 105

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