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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN SRI LANKA

Cancer All cancers
excl. non-melanoma
skin cancer
Head and Neck Breast Gynecological Hematological Lung Stomach Esophagus Urological Colorectal Liver
New Cancer Cases 23665 5275 3955 2664 2050 1576 1470 1407 1120 935 806
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 42.74 44 100 56.67 0 25 33 20 73.75 70 5
Number (#) of patients needing surgery 10115 2321 3955 1510 0 394 485 281 826 655 40
Average length of stay (ALOS) for surgery 6.91 6.8 5 6.33 0 10 5 9 8 9 10
# of surgery beds/day 191.45 43.21 54.14 26.18 0.00 10.79 6.64 6.93 18.09 16.13 1.10
CHEMOTHERAPY % of patients requiring chemo 71.12 66 100 66.67 100 50 66 90 62.5 90 20
# of patients requiring chemo 16829.84 3482 3955 1776 2050 788 970 1266 700 842 161
ALOS for chemo 3.44 3.4 3 3 6.5 3 3 3 3.5 3 3
# of chemo beds/day 158.51 32.41 32.48 14.59 36.48 6.47 7.97 10.40 6.71 6.91 1.32
RADIOTHERAPY % of patients requiring RT 55.98 71 100 40 32.5 90 50 90 41.25 25 20
# of patients 13246.48 3745 3955 1066 666 1418 735 1266 462 234 161
# of admitted patients 3311.62 936 989 266 167 355 184 317 116 58 40
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 45.33 12.82 13.54 3.65 2.28 4.85 2.52 4.33 1.58 0.80 0.55
ONCOLOGY BEDS Maximum # of beds/day 396 89 101 45 39 23 18 22 27 24 3
# of 24 bed oncology wards 17 4 5 2 2 1 1 1 2 1 1
ONCOLOGISTS Hematologist Oncologists 5 0 0 0 5 0 0 0 0 0 0
Surgical Oncologists 22 5 9 4 0 1 2 1 2 2 1
Radiation/Clinical Oncologists 119 27 20 14 11 8 8 8 6 5 5
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
Pathologists 48 11 8 6 5 4 3 3 3 2 2
PHARMACY Onco-Pharmacists 68 16 20 8 8 4 4 4 8 4 4
Onco-Pharmacy Technicians 102 24 30 12 12 6 6 6 12 6 6
PALLIATIVE CARE Palliative Care Specialists 48 11 8 6 5 4 3 3 3 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 159 45 48 13 8 18 9 16 6 3 2
Medical Physicists 53 15 16 5 3 6 3 6 2 1 1
Linac Engineers 14 4 4 2 1 2 1 2 1 1 1
Radiation Oncology Nurses 53 15 16 5 3 6 3 6 2 1 1
Linacs / Co 60 Megavolt Units 27 8 8 3 2 3 2 3 1 1 1
# of Brachytherapy units 14 4 4 2 1 2 1 2 1 1 1
# CT simulators 14 4 4 2 1 2 1 2 1 1 1
# of treatment planning computers 14 4 4 2 1 2 1 2 1 1 1
# of dosimetry/QA package 14 4 4 2 1 2 1 2 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 255 60 75 30 30 15 15 15 30 15 15

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

Colombo Gampaha
Population 2323826 2298588
New Cancer Cases 2592 2564
SURGERY % of patients needing surgery 42.74 42.74
Number (#) of patients needing surgery 1108 1096
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 20.97 20.74
CHEMOTHERAPY % of patients requiring chemo 71.12 71.12
# of patients requiring chemo 1843 1823
ALOS for chemo 3.44 3.44
# of chemo beds/day 17.36 17.17
RADIOTHERAPY % of patients requiring RT 55.98 55.98
# of patients 1451 1435
# of admitted patients 363 359
ALOS 5 5
# of RT beds/day 4.97 4.91
ONCOLOGY BEDS Maximum # of beds/day 44 43
# of 24 bed oncology wards 2 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 3 3
Radiation/Clinical Oncologists 13 13
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 6 6
PHARMACY Onco-Pharmacists 8 8
Onco-Pharmacy Technicians 12 12
PALLIATIVE CARE Palliative Care Specialists 6 6
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 18 18
Medical Physicists 6 6
Linac Engineers 2 2
Radiation Oncology Nurses 6 6
Linacs / Co 60 Megavolt Units 3 3
# 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 30 30

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