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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN SRI LANKA

Cancer All cancers
excl. non-melanoma
skin cancer
Head & Neck Breast Gynecological Hematological Malignancies Esophagus Lung Colorectal Urological Brain, nervous system Stomach
New Cancer Cases 24447 5198 3436 2936 2773 1942 1567 1463 1155 587 393
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 52.24 44 100.00 56.67 0 20 25 70 73.75 100 33
Number (#) of patients needing surgery 12772 2287 3436 1664 0 388 392 1024 852 587 130
Average length of stay (ALOS) for surgery 6.81 6.8 5 6.33 0 9 10 9 8 9 5
# of surgery beds/day 238.24 42.58 47.04 28.85 0.00 9.57 10.73 25.23 18.66 14.46 1.78
CHEMOTHERAPY % of patients requiring chemo 79.12 66 100 66.67 100 90 50 90 62.5 100 66
# of patients requiring chemo 19341.73 3431 3436 1957 2773 1748 784 1317 722 587 259
ALOS for chemo 3.44 3.4 3 3 6.5 3 3 3 3.5 3 3
# of chemo beds/day 182.16 31.94 28.22 16.08 49.35 14.36 6.44 10.81 6.92 4.82 2.13
RADIOTHERAPY % of patients requiring RT 63.98 71 100 40 32.5 90 90 25 41.25 100 50
# of patients 15639.97 3691 3436 1174 901 1748 1410 366 476 587 197
# of admitted patients 3909.99 923 859 294 225 437 353 91 119 147 49
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 53.52 12.63 11.76 4.02 3.08 5.98 4.83 1.25 1.63 2.01 0.67
ONCOLOGY BEDS Maximum # of beds/day 474 88 88 49 53 30 22 38 28 22 5
# of 24 bed oncology wards 20 4 4 3 3 2 1 2 2 1 1
ONCOLOGISTS Hematologist Oncologists 6 0 0 0 6 0 0 0 0 0 0
Surgical Oncologists 27 5 8 4 0 1 1 3 2 2 1
Radiation/Clinical Oncologists 123 26 18 15 14 10 8 8 6 3 2
Urologic Oncologists 3 0 0 0 0 0 0 0 3 0 0
Gynecologic Oncologist 6 0 0 6 0 0 0 0 0 0 0
Neuro-Oncologists 2 0 0 0 0 0 0 0 0 2 0
Pathologists 49 11 7 6 6 4 4 3 3 2 1
PHARMACY Onco-Pharmacists 80 16 16 12 12 8 4 8 8 4 4
Onco-Pharmacy Technicians 120 24 24 18 18 12 6 12 12 6 6
PALLIATIVE CARE Palliative Care Specialists 49 11 7 6 6 4 4 3 3 2 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 188 45 42 15 11 21 17 5 6 8 3
Medical Physicists 63 15 14 5 4 7 6 2 2 3 1
Linac Engineers 16 4 4 2 1 2 2 1 1 1 1
Radiation Oncology Nurses 63 15 14 5 4 7 6 2 2 3 1
Linacs / Co 60 Megavolt Units 32 8 7 3 2 4 3 1 1 2 1
# of Brachytherapy units 16 4 4 2 1 2 2 1 1 1 1
# CT simulators 16 4 4 2 1 2 2 1 1 1 1
# of treatment planning computers 16 4 4 2 1 2 2 1 1 1 1
# of dosimetry/QA package 16 4 4 2 1 2 2 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 300 60 60 45 45 30 15 30 30 15 15

CANCER INCIDENCE IN DISTRICTS BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2012

Colombo Gampaha
Population 2323826 2298588
New Cancer Cases 2833 2802
SURGERY % of patients needing surgery 52.24 52.24
Number (#) of patients needing surgery 1480 1464
Average length of stay (ALOS) for surgery 6.81 6.81
# of surgery beds/day 27.61 27.31
CHEMOTHERAPY % of patients requiring chemo 79.12 79.12
# of patients requiring chemo 2241 2217
ALOS for chemo 3.44 3.44
# of chemo beds/day 21.11 20.88
RADIOTHERAPY % of patients requiring RT 63.98 63.98
# of patients 1812 1793
# of admitted patients 453 448
ALOS 5 5
# of RT beds/day 6.20 6.13
ONCOLOGY BEDS Maximum # of beds/day 55 55
# of 24 bed oncology wards 3 3
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 4 4
Radiation/Clinical Oncologists 15 15
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 6 6
PHARMACY Onco-Pharmacists 12 12
Onco-Pharmacy Technicians 18 18
PALLIATIVE CARE Palliative Care Specialists 6 6
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 22 22
Medical Physicists 8 8
Linac Engineers 2 2
Radiation Oncology Nurses 8 8
Linacs / Co 60 Megavolt Units 4 4
# of Brachytherapy units 2 2
# CT simulators 2 2
# of treatment planning computers 2 2
# of dosimetry/QA package 2 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 45 45

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