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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN SOUTH AFRICA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Gynecological Breast Lung Hematological Colorectal Head and Neck Esophagus Kaposi sarcoma Stomach
New Cancer Cases 77440 12309 10642 9815 7242 4934 4697 4596 3871 2784 2029
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 42.24 73.75 56.67 100 25 0 70 44 20 0 33
Number (#) of patients needing surgery 32712 9078 6030 9815 1811 0 3288 2022 774 0 670
Average length of stay (ALOS) for surgery 5.91 8 6.33 5 10 0 9 6.8 9 0 5
# of surgery beds/day 529.60 198.83 104.57 134.36 49.57 0.00 81.02 37.65 19.08 0.00 9.17
CHEMOTHERAPY % of patients requiring chemo 76.12 62.5 66.67 100 50 100 90 66 90 70 66
# of patients requiring chemo 58945.00 7693 7095 9815 3621 4934 4227 3033 3484 1949 1339
ALOS for chemo 3.44 3.5 3 3 3 6.5 3 3.4 3 3 3
# of chemo beds/day 555.16 73.72 58.28 80.62 29.74 87.81 34.72 28.24 28.62 16.01 11.00
RADIOTHERAPY % of patients requiring RT 58.98 41.25 40 100 90 32.5 25 71 90 50 50
# of patients 45670.24 5077 4257 9815 6518 1604 1174 3263 3484 1392 1015
# of admitted patients 11417.56 1269 1064 2454 1629 401 294 816 871 348 254
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 156.30 17.38 14.57 33.59 22.31 5.49 4.02 11.17 11.92 4.76 3.47
ONCOLOGY BEDS Maximum # of beds/day 1242 290 178 249 102 94 120 78 60 21 24
# of 24 bed oncology wards 52 13 8 11 5 4 5 4 3 1 1
ONCOLOGISTS Hematologist Oncologists 10 0 0 0 0 10 0 0 0 0 0
Surgical Oncologists 69 19 13 21 4 0 7 5 2 0 2
Radiation/Clinical Oncologists 388 62 54 50 37 25 24 23 20 14 11
Urologic Oncologists 25 25 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 22 0 22 0 0 0 0 0 0 0 0
Pathologists 155 25 22 20 15 10 10 10 8 6 5
PHARMACY Onco-Pharmacists 208 52 32 44 20 16 20 16 12 4 4
Onco-Pharmacy Technicians 312 78 48 66 30 24 30 24 18 6 6
PALLIATIVE CARE Palliative Care Specialists 155 25 22 20 15 10 10 10 8 6 5
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 549 61 52 118 79 20 15 40 42 17 13
Medical Physicists 183 21 18 40 27 7 5 14 14 6 5
Linac Engineers 46 6 5 10 7 2 2 4 4 2 2
Radiation Oncology Nurses 183 21 18 40 27 7 5 14 14 6 5
Linacs / Co 60 Megavolt Units 92 11 9 20 14 4 3 7 7 3 3
# of Brachytherapy units 46 6 5 10 7 2 2 4 4 2 2
# CT simulators 46 6 5 10 7 2 2 4 4 2 2
# of treatment planning computers 46 6 5 10 7 2 2 4 4 2 2
# of dosimetry/QA package 46 6 5 10 7 2 2 4 4 2 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 780 195 120 165 75 60 75 60 45 15 15

RESOURCES NEEDED IN CITIES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2011

Johannesburg Cape Town
Population 7860781 3430992
New Cancer Cases 11998 5237
SURGERY % of patients needing surgery 42.24 42.24
Number (#) of patients needing surgery 5068 2212
Average length of stay (ALOS) for surgery 5.91 5.91
# of surgery beds/day 82.05 35.82
CHEMOTHERAPY % of patients requiring chemo 76.12 76.12
# of patients requiring chemo 9133 3986
ALOS for chemo 3.44 3.44
# of chemo beds/day 86.01 37.54
RADIOTHERAPY % of patients requiring RT 58.98 58.98
# of patients 7076 3089
# of admitted patients 1769 772
ALOS 5 5
# of RT beds/day 24.22 10.57
ONCOLOGY BEDS Maximum # of beds/day 193 84
# of 24 bed oncology wards 9 4
ONCOLOGISTS Hematologist Oncologists 2 1
Surgical Oncologists 11 5
Radiation/Clinical Oncologists 60 27
Urologic Oncologists 4 2
Gynecologic Oncologist 4 2
Pathologists 24 11
PHARMACY Onco-Pharmacists 36 16
Onco-Pharmacy Technicians 54 24
PALLIATIVE CARE Palliative Care Specialists 24 11
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 85 38
Medical Physicists 29 13
Linac Engineers 8 4
Radiation Oncology Nurses 29 13
Linacs / Co 60 Megavolt Units 15 7
# of Brachytherapy units 8 4
# CT simulators 8 4
# of treatment planning computers 8 4
# of dosimetry/QA package 8 4
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 135 60

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