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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN SYRIA

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Hematological Urological Colorectal Lung Head and Neck Gynecological Brain, nervous system Stomach Liver
New Cancer Cases 21791 4140 2745 2639 2285 2050 1719 834 821 818 565
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 100 0 73.75 70 25 44 56.67 100 33 5
Number (#) of patients needing surgery 11057 4140 0 1946 1600 513 756 473 821 270 28
Average length of stay (ALOS) for surgery 6.91 5 0 8 9 10 6.8 6.33 9 5 10
# of surgery beds/day 209.29 56.67 0.00 42.63 39.41 14.03 14.08 8.19 20.23 3.70 0.77
CHEMOTHERAPY % of patients requiring chemo 72.12 100 100 62.5 90 50 66 66.67 100 66 20
# of patients requiring chemo 15715.02 4140 2745 1649 2057 1025 1135 556 821 540 113
ALOS for chemo 3.44 3 6.5 3.5 3 3 3.4 3 3 3 3
# of chemo beds/day 148.01 34.00 48.85 15.81 16.89 8.42 10.56 4.57 6.74 4.43 0.93
RADIOTHERAPY % of patients requiring RT 56.98 100 32.5 41.25 25 90 71 40 100 50 20
# of patients 12415.42 4140 892 1089 571 1845 1220 334 821 409 113
# of admitted patients 3103.86 1035 223 272 143 461 305 83 205 102 28
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 42.49 14.17 3.05 3.73 1.95 6.31 4.18 1.14 2.81 1.40 0.39
ONCOLOGY BEDS Maximum # of beds/day 400 105 52 63 59 29 29 14 30 10 3
# of 24 bed oncology wards 17 5 3 3 3 2 2 1 2 1 1
ONCOLOGISTS Hematologist Oncologists 6 0 6 0 0 0 0 0 0 0 0
Surgical Oncologists 24 9 0 5 4 2 2 1 2 1 1
Radiation/Clinical Oncologists 109 21 14 14 12 11 9 5 5 5 3
Urologic Oncologists 6 0 0 6 0 0 0 0 0 0 0
Gynecologic Oncologist 2 0 0 0 0 0 0 2 0 0 0
Neuro-Oncologists 2 0 0 0 0 0 0 0 2 0 0
Pathologists 44 9 6 6 5 5 4 2 2 2 2
PHARMACY Onco-Pharmacists 68 20 12 12 12 8 8 4 8 4 4
Onco-Pharmacy Technicians 102 30 18 18 18 12 12 6 12 6 6
PALLIATIVE CARE Palliative Care Specialists 44 9 6 6 5 5 4 2 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 149 50 11 14 7 23 15 5 10 5 2
Medical Physicists 50 17 4 5 3 8 5 2 4 2 1
Linac Engineers 13 5 1 2 1 2 2 1 1 1 1
Radiation Oncology Nurses 50 17 4 5 3 8 5 2 4 2 1
Linacs / Co 60 Megavolt Units 25 9 2 3 2 4 3 1 2 1 1
# of Brachytherapy units 13 5 1 2 1 2 2 1 1 1 1
# CT simulators 13 5 1 2 1 2 2 1 1 1 1
# of treatment planning computers 13 5 1 2 1 2 2 1 1 1 1
# of dosimetry/QA package 13 5 1 2 1 2 2 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 255 75 45 45 45 30 30 15 30 15 15

RESOURCES NEEDED IN GOVERNORATES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2011

Aleppo Damascus Rural
Population 4868000 2836000
New Cancer Cases 5024 2927
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 2549 1485
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 48.25 28.11
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 3623 2111
ALOS for chemo 3.44 3.44
# of chemo beds/day 34.12 19.88
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 2862 1668
# of admitted patients 716 417
ALOS 5 5
# of RT beds/day 9.80 5.71
ONCOLOGY BEDS Maximum # of beds/day 93 54
# of 24 bed oncology wards 4 3
ONCOLOGISTS Hematologist Oncologists 2 1
Surgical Oncologists 6 4
Radiation/Clinical Oncologists 26 15
Urologic Oncologists 2 1
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 11 6
PHARMACY Onco-Pharmacists 16 12
Onco-Pharmacy Technicians 24 18
PALLIATIVE CARE Palliative Care Specialists 11 6
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 35 21
Medical Physicists 12 7
Linac Engineers 3 2
Radiation Oncology Nurses 12 7
Linacs / Co 60 Megavolt Units 6 4
# of Brachytherapy units 3 2
# CT simulators 3 2
# of treatment planning computers 3 2
# of dosimetry/QA package 3 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 60 45

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