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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN TAJIKISTAN

Cancer All cancers
excl. non-melanoma
skin cancer
Stomach Gynecological Esophagus Breast Hematological
New Cancer Cases 5533 871 707 570 520 470
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 41.93 33 56.67 20 100 0
Number (#) of patients needing surgery 2320 287 401 114 520 0
Average length of stay (ALOS) for surgery 5.07 5 6.33 9 5 0
# of surgery beds/day 32.18 3.93 6.95 2.81 7.12 0.00
CHEMOTHERAPY % of patients requiring chemo 84.53 66 66.67 90 100 100
# of patients requiring chemo 4677.27 575 471 513 520 470
ALOS for chemo 3.70 3 3 3 3 6.5
# of chemo beds/day 47.38 4.72 3.87 4.21 4.27 8.36
RADIOTHERAPY % of patients requiring RT 62.50 50 40 90 100 32.5
# of patients 3458.13 436 283 513 520 153
# of admitted patients 864.53 109 71 128 130 38
ALOS 5.00 5 5 5 5 5
# of RT beds/day 11.83 1.49 0.97 1.76 1.78 0.52
ONCOLOGY BEDS Maximum # of beds/day 92 11 12 9 14 9
# of 24 bed oncology wards 4 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 1 0 0 0 0 1
Surgical Oncologists 5 1 1 1 2 0
Radiation/Clinical Oncologists 28 5 4 3 3 3
Gynecologic Oncologist 2 0 2 0 0 0
Pathologists 12 2 2 2 2 1
PHARMACY Onco-Pharmacists 16 4 4 4 4 4
Onco-Pharmacy Technicians 24 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 12 2 2 2 2 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 42 6 4 7 7 2
Medical Physicists 14 2 2 3 3 1
Linac Engineers 4 1 1 1 1 1
Radiation Oncology Nurses 14 2 2 3 3 1
Linacs / Co 60 Megavolt Units 7 1 1 2 2 1
# of Brachytherapy units 4 1 1 1 1 1
# CT simulators 4 1 1 1 1 1
# of treatment planning computers 4 1 1 1 1 1
# of dosimetry/QA package 4 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 60 15 15 15 15 15

RESOURCES NEEDED IN PROVINCES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2013

Khatlon Sughd
Population 2831700 2349000
New Cancer Cases 2214 1837
SURGERY % of patients needing surgery 41.93 41.93
Number (#) of patients needing surgery 928 770
Average length of stay (ALOS) for surgery 5.07 5.07
# of surgery beds/day 12.88 10.69
CHEMOTHERAPY % of patients requiring chemo 84.53 84.53
# of patients requiring chemo 1872 1553
ALOS for chemo 3.70 3.70
# of chemo beds/day 18.96 15.73
RADIOTHERAPY % of patients requiring RT 62.50 62.50
# of patients 1384 1148
# of admitted patients 346 287
ALOS 5 5
# of RT beds/day 4.74 3.93
ONCOLOGY BEDS Maximum # of beds/day 37 31
# of 24 bed oncology wards 2 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 2
Radiation/Clinical Oncologists 12 10
Gynecologic Oncologist 1 1
Pathologists 5 4
PHARMACY Onco-Pharmacists 8 8
Onco-Pharmacy Technicians 12 12
PALLIATIVE CARE Palliative Care Specialists 5 4
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 17 14
Medical Physicists 6 5
Linac Engineers 2 2
Radiation Oncology Nurses 6 5
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 + beds for chemotherapy or beds for 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 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 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 = 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 5 cancers