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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN SERBIA

Cancer All except melanoma Lung Colorectal Breast Urological Gynecological Hematological Malignancies Head & Neck Stomach Pancreas Brain, nervous system
New Cancer Cases 34183 6337 4555 4384 4092 3054 2096 2018 1434 1038 1003
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 25 70 100.00 73.75 56.67 0 44 33 10 100
Number (#) of patients needing surgery 17516 1584 3189 4384 3018 1731 0 888 473 104 1003
Average length of stay (ALOS) for surgery 6.91 10 9 5 8 6.33 0 6.8 5 10 9
# of surgery beds/day 331.54 43.37 78.57 60.01 66.10 30.01 0.00 16.53 6.48 2.84 24.71
CHEMOTHERAPY % of patients requiring chemo 75.12 50 90 100 62.5 66.67 100 66 66 50 100
# of patients requiring chemo 25677.24 3169 4100 4384 2558 2036 2096 1332 946 519 1003
ALOS for chemo 3.64 3 3 3 3.5 3 6.5 3.4 3 5 3
# of chemo beds/day 255.89 26.02 33.67 36.01 24.51 16.72 37.30 12.40 7.77 7.10 8.24
RADIOTHERAPY % of patients requiring RT 59.98 90 25 100 41.25 40 32.5 71 50 50 100
# of patients 20501.25 5703 1139 4384 1688 1222 681 1433 717 519 1003
# of admitted patients 5125.31 1426 285 1096 422 305 170 358 179 130 251
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 70.16 19.52 3.90 15.00 5.78 4.18 2.33 4.90 2.45 1.78 3.43
ONCOLOGY BEDS Maximum # of beds/day 658 89 117 112 97 51 40 34 17 12 37
# of 24 bed oncology wards 28 4 5 5 5 3 2 2 1 1 2
ONCOLOGISTS Hematologist Oncologists 5 0 0 0 0 0 5 0 0 0 0
Surgical Oncologists 37 4 7 10 7 4 0 2 1 1 3
Radiation/Clinical Oncologists 171 32 23 22 21 16 11 11 8 6 6
Urologic Oncologists 9 0 0 0 9 0 0 0 0 0 0
Gynecologic Oncologist 7 0 0 0 0 7 0 0 0 0 0
Neuro-Oncologists 3 0 0 0 0 0 0 0 0 0 3
Pathologists 69 13 10 9 9 7 5 5 3 3 3
PHARMACY Onco-Pharmacists 112 16 20 20 20 12 8 8 4 4 8
Onco-Pharmacy Technicians 168 24 30 30 30 18 12 12 6 6 12
PALLIATIVE CARE Palliative Care Specialists 69 13 10 9 9 7 5 5 3 3 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 247 69 14 53 21 15 9 18 9 7 13
Medical Physicists 83 23 5 18 7 5 3 6 3 3 5
Linac Engineers 21 6 2 5 2 2 1 2 1 1 2
Radiation Oncology Nurses 83 23 5 18 7 5 3 6 3 3 5
Linacs / Co 60 Megavolt Units 42 12 3 9 4 3 2 3 2 2 3
# of Brachytherapy units 21 6 2 5 2 2 1 2 1 1 2
# CT simulators 21 6 2 5 2 2 1 2 1 1 2
# of treatment planning computers 21 6 2 5 2 2 1 2 1 1 2
# of dosimetry/QA package 21 6 2 5 2 2 1 2 1 1 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 420 60 75 75 75 45 30 30 15 15 30

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

Beograd Novi Sad
Population 1135502 221854
New Cancer Cases 3946 771
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 2022 395
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 38.27 7.48
CHEMOTHERAPY % of patients requiring chemo 75.12 75.12
# of patients requiring chemo 2964 579
ALOS for chemo 3.64 3.64
# of chemo beds/day 29.54 5.77
RADIOTHERAPY % of patients requiring RT 59.98 59.98
# of patients 2367 462
# of admitted patients 592 116
ALOS 5 5
# of RT beds/day 8.10 1.58
ONCOLOGY BEDS Maximum # of beds/day 76 15
# of 24 bed oncology wards 4 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 5 1
Radiation / Clinical Oncologists 20 4
Urologic Oncologists 2 1
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 8 2
PHARMACY Onco-Pharmacists 16 4
Onco-Pharmacy Technicians 24 6
PALLIATIVE CARE Palliative Care Specialists 8 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 29 6
Medical Physicists 10 2
Linac Engineers 3 1
Radiation Oncology Nurses 10 2
Linacs / Co 60 Megavolt Units 5 1
# 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