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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN TAJIKISTAN

Cancer All cancers
excl. non-melanoma
skin cancer
Stomach Esophagus Gynecological Breast Hematological Malignancies
New Cancer Cases 4051 716 516 412 386 312
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 41.93 33 20 56.67 100.00 0
Number (#) of patients needing surgery 1699 236 103 233 386 0
Average length of stay (ALOS) for surgery 5.07 5 9 6.33 5 0
# of surgery beds/day 23.56 3.23 2.54 4.05 5.28 0.00
CHEMOTHERAPY % of patients requiring chemo 84.53 66 90 66.67 100 100
# of patients requiring chemo 3424.47 473 464 275 386 312
ALOS for chemo 3.70 3 3 3 3 6.5
# of chemo beds/day 34.69 3.88 3.81 2.26 3.17 5.55
RADIOTHERAPY % of patients requiring RT 62.50 50 90 40 100 32.5
# of patients 2531.88 358 464 165 386 101
# of admitted patients 632.97 90 116 41 97 25
ALOS 5.00 5 5 5 5 5
# of RT beds/day 8.66 1.23 1.59 0.56 1.32 0.35
ONCOLOGY BEDS Maximum # of beds/day 67 9 8 7 10 6
# of 24 bed oncology wards 3 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 1 0 0 0 0 1
Surgical Oncologists 4 1 1 1 1 0
Radiation/Clinical Oncologists 21 4 3 3 2 2
Gynecologic Oncologist 1 0 0 1 0 0
Pathologists 9 2 2 1 1 1
PHARMACY Onco-Pharmacists 12 4 4 4 4 4
Onco-Pharmacy Technicians 18 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 9 2 2 1 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 31 5 6 2 5 2
Medical Physicists 11 2 2 1 2 1
Linac Engineers 3 1 1 1 1 1
Radiation Oncology Nurses 11 2 2 1 2 1
Linacs / Co 60 Megavolt Units 6 1 1 1 1 1
# of Brachytherapy units 3 1 1 1 1 1
# CT simulators 3 1 1 1 1 1
# of treatment planning computers 3 1 1 1 1 1
# of dosimetry/QA package 3 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 45 15 15 15 15 15

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2010

THERE WILL BE ONE CANCER CENTER IN TAJIKISTAN SINCE THERE ARE LESS THAN 5000 NEW CANCER CASES

Tajikistan 
Population 7,565,000
New Cancer Cases 4484
SURGERY % of patients needing surgery 41.93
Number (#) of patients needing surgery 1880
Average length of stay (ALOS) for surgery 5.07
# of surgery beds/day 26.08
CHEMOTHERAPY % of patients requiring chemo 84.53
# of patients requiring chemo 3791
ALOS for chemo 3.70
# of chemo beds/day 38.40
RADIOTHERAPY % of patients requiring RT 62.50
# of patients 2803
# of admitted patients 701
ALOS 5
# of RT beds/day 9.59
ONCOLOGY BEDS Maximum # of beds/day 75
# of 24 bed oncology wards 4
ONCOLOGISTS Hematologist Oncologists 2
Surgical Oncologists 5
Radiation / Clinical Oncologists 23
Gynecologic Oncologist 2
Pathologists 9
PHARMACY Onco-Pharmacists 16
Onco-Pharmacy Technicians 24
PALLIATIVE CARE Palliative Care Specialists 9
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 34
Medical Physicists 12
Linac Engineers 3
Radiation Oncology Nurses 12
Linacs / Co 60 Megavolt Units 6
# of Brachytherapy units 3
# CT simulators 3
# of treatment planning computers 3
# of dosimetry/QA package 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 60

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