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U.S. National Institutes of Health
Last Updated: 01/15/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN SOUTH AFRICA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Gynecological Esophagus Lung Head and Neck Colorectal Hematological Malignancies Liver Kaposi sarcoma
New Cancer Cases 74688 9842 8649 8077 6439 6345 5198 5050 4476 3575 3287
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 39.44 73.75 100.0 56.67 20 25 44 70 0 5 0
Number (#) of patients needing surgery 29458.19 7258 8649 4577 1288 1586 2287 3535 0 179 0
Average length of stay (ALOS) for surgery 6.41 8 5 6.33 9 10 6.8 9 0 10 0
# of surgery beds/day 517.25 158.98 118.40 79.36 31.73 43.43 42.58 87.10 0.00 4.89 0.00
CHEMOTHERAPY % of patients requiring chemo 71.52 62.5 100 66.67 90 50 66 90 100 20 70
# of patients requiring chemo 53414.37 6151 8649 5385 5795 3173 3431 4545 4476 715 2301
ALOS for chemo 3.44 3.5 3 3 3 3 3.4 3 6.5 3 3
# of chemo beds/day 503.07 58.94 71.04 44.23 47.60 26.06 31.94 37.33 79.66 5.87 18.90
RADIOTHERAPY % of patients requiring RT 55.98 41.25 100 40 90 90 71 25 32.5 20 50
# of patients 41806.61 4060 8649 3231 5795 5711 3691 1263 1455 715 1644
# of admitted patients 10451.65 1015 2162 808 1449 1428 923 316 364 179 411
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 143.08 13.89 29.60 11.06 19.83 19.54 12.63 4.32 4.98 2.45 5.62
ONCOLOGY BEDS Maximum # of beds/day 1164 232 220 135 100 90 88 129 85 14 25
# of 24 bed oncology wards 49 10 10 6 5 4 4 6 4 1 2
ONCOLOGISTS Hematologist Oncologists 9 0 0 0 0 0 0 0 9 0 0
Surgical Oncologists 62 16 19 10 3 4 5 8 0 1 0
Radiation / Clinical Oncologists 374 50 44 41 33 32 26 26 23 18 17
Urologic Oncologists 20 20 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 17 0 0 17 0 0 0 0 0 0 0
Pathologists 150 20 18 17 13 13 11 11 9 8 7
PHARMACY Onco-Pharmacists 196 40 40 24 20 16 16 24 16 4 8
Onco-Pharmacy Technicians 294 60 60 36 30 24 24 36 24 6 12
PALLIATIVE CARE Palliative Care Specialists 150 20 18 17 13 13 11 11 9 8 7
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 502 49 104 39 70 69 45 16 18 9 20
Medical Physicists 168 17 35 13 24 23 15 6 6 3 7
Linac Engineers 42 5 9 4 6 6 4 2 2 1 2
Radiation Oncology Nurses 168 17 35 13 24 23 15 6 6 3 7
Linacs / Co 60 Megavolt Units 84 9 18 7 12 12 8 3 3 2 4
# of Brachytherapy units 42 5 9 4 6 6 4 2 2 1 2
# CT simulators 42 5 9 4 6 6 4 2 2 1 2
# of treatment planning computers 42 5 9 4 6 6 4 2 2 1 2
# of dosimetry/QA package 42 5 9 4 6 6 4 2 2 1 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 735 150 150 90 75 60 60 90 60 15 30

CANCER INCIDENCE IN PROVINCES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2013

Northern Cape Eastern Cape
Population 37288900 16896600
New Cancer Cases 28932 13110
SURGERY % of patients needing surgery 39.44 39.44
# of patients needing surgery 11411 5171
ALOS for surgery 6.41 6.41
# of surgery beds/day 200.37 90.79
CHEMOTHERAPY % of patients requiring chemo 71.52 71.52
# of patients requiring chemo 20691 9376
ALOS for chemo 3.44 3.44
# of chemo beds/day 194.87 88.30
RADIOTHERAPY % of patients requiring RT 55.98 55.98
# of patients 16195 7338
# of admitted patients 4049 1835
ALOS 5 5
# of RT beds/day 55.42 25.11
ONCOLOGY BEDS Maximum # of beds/day 451 205
# of 24 bed oncology wards 19 9
ONCOLOGISTS Hematologist Oncologists 7 4
Surgical Oncologists 47 22
Radiation / Clinical Oncologists 145 66
Urologic Oncologists 16 7
Gynecologic Oncologist 13 6
Pathologists 58 27
PHARMACY Onco-Pharmacists 76 36
Onco-Pharmacy Technicians 114 54
PALLIATIVE CARE Palliative Care Specialists 58 27
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 195 89
Medical Physicists 65 30
Linac Engineers 17 8
Radiation Oncology Nurses 65 30
Linacs / Co 60 Megavolt Units 33 15
# of Brachytherapy units 17 8
# CT simulators 17 8
# of treatment planning computers 17 8
# of dosimetry/QA package 17 8
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 285 135

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 or beds for 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 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 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 = 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
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 10 most frequently occurring cancers