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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN SYRIA

Cancer All cancers
excl. non-melanoma
skin cancer
Hematological Malignancies Breast Urological Head & Neck Colorectal
New Cancer Cases 9468 1698 1577 1047 862 746
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 57.55 0 100.00 73.75 44 70
Number (#) of patients needing surgery 5449 0 1577 772 379 522
Average length of stay (ALOS) for surgery 5.76 0 5 8 6.8 9
# of surgery beds/day 85.93 0.00 21.59 16.91 7.06 12.87
CHEMOTHERAPY % of patients requiring chemo 83.70 100 100 62.5 66 90
# of patients requiring chemo 7924.72 1698 1577 654 569 671
ALOS for chemo 3.88 6.5 3 3.5 3.4 3
# of chemo beds/day 84.18 30.22 12.95 6.27 5.30 5.51
RADIOTHERAPY % of patients requiring RT 53.95 32.5 100 41.25 71 25
# of patients 5107.99 552 1577 432 612 187
# of admitted patients 1277.00 138 394 108 153 47
ALOS 5.00 5 5 5 5 5
# of RT beds/day 17.48 1.89 5.40 1.48 2.09 0.64
ONCOLOGY BEDS Maximum # of beds/day 188 33 40 25 15 20
# of 24 bed oncology wards 8 2 2 2 1 1
ONCOLOGISTS Hematologist Oncologists 4 4 0 0 0 0
Surgical Oncologists 12 0 4 2 1 2
Radiation/Clinical Oncologists 48 9 8 6 5 4
Urologic Oncologists 3 0 0 3 0 0
Pathologists 19 4 4 3 2 2
PHARMACY Onco-Pharmacists 32 8 8 8 4 4
Onco-Pharmacy Technicians 48 12 12 12 6 6
PALLIATIVE CARE Palliative Care Specialists 19 4 4 3 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 62 7 19 6 8 3
Medical Physicists 21 3 7 2 3 1
Linac Engineers 6 1 2 1 1 1
Radiation Oncology Nurses 21 3 7 2 3 1
Linacs / Co 60 Megavolt Units 11 2 4 1 2 1
# of Brachytherapy units 6 1 2 1 1 1
# CT simulators 6 1 2 1 1 1
# of treatment planning computers 6 1 2 1 1 1
# of dosimetry/QA package 6 1 2 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 120 30 30 30 15 15

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

Ḥalab [Aleppo] Rif Dimashq [Damascus Rural]
Population 4868000 2836000
New Cancer Cases 2172 1266
SURGERY % of patients needing surgery 57.55 57.55
Number (#) of patients needing surgery 1250 729
Average length of stay (ALOS) for surgery 5.76 5.76
# of surgery beds/day 19.71 11.49
CHEMOTHERAPY % of patients requiring chemo 83.70 83.70
# of patients requiring chemo 1818 1060
ALOS for chemo 3.88 3.88
# of chemo beds/day 19.31 11.26
RADIOTHERAPY % of patients requiring RT 53.95 53.95
# of patients 1172 683
# of admitted patients 293 171
ALOS 5 5
# of RT beds/day 4.01 2.34
ONCOLOGY BEDS Maximum # of beds/day 44 26
# of 24 bed oncology wards 2 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 3 2
Radiation/Clinical Oncologists 11 7
Urologic Oncologists 1 1
Pathologists 5 3
PHARMACY Onco-Pharmacists 8 8
Onco-Pharmacy Technicians 12 12
PALLIATIVE CARE Palliative Care Specialists 5 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 15 9
Medical Physicists 5 3
Linac Engineers 2 1
Radiation Oncology Nurses 5 3
Linacs / Co 60 Megavolt Units 3 2
# of Brachytherapy units 2 1
# CT simulators 2 1
# of treatment planning computers 2 1
# of dosimetry/QA package 2 1
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 + 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 5 most frequently occurring cancers