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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN THAILAND

Cancer All cancers
excl. non-melanoma
skin cancer
Liver Lung Breast Gynecological Head and Neck Colorectal Hematological Urological Stomach Gallbladder
New Cancer Cases 123801 20455 19505 13653 12725 11581 11493 8758 6944 2841 2794
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 44.04 5 25 100 56.67 44 70 0 73.75 33 33
Number (#) of patients needing surgery 54524 1023 4876 13653 7211 5096 8045 0 5121 938 922
Average length of stay (ALOS) for surgery 6.91 10 10 5 6.33 6.8 9 0 8 5 9
# of surgery beds/day 1032.01 28.00 133.50 186.90 125.03 94.87 198.24 0.00 112.17 12.83 22.72
CHEMOTHERAPY % of patients requiring chemo 68.72 20 50 100 66.67 66 90 100 62.5 66 66
# of patients requiring chemo 85072.33 4091 9753 13653 8484 7643 10344 8758 4340 1875 1844
ALOS for chemo 3.44 3 3 3 3 3.4 3 6.5 3.5 3 3
# of chemo beds/day 801.23 33.60 80.10 112.14 69.68 71.15 84.96 155.86 41.59 15.40 15.15
RADIOTHERAPY % of patients requiring RT 51.98 20 90 100 40 71 25 32.5 41.25 50 50
# of patients 64345.57 4091 17555 13653 5090 8223 2873 2846 2864 1421 1397
# of admitted patients 16086.39 1023 4389 3413 1273 2056 718 712 716 355 349
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 220.21 14.00 60.08 46.72 17.42 28.14 9.83 9.74 9.80 4.86 4.78
ONCOLOGY BEDS Maximum # of beds/day 2054 76 274 346 213 195 294 166 164 34 43
# of 24 bed oncology wards 86 4 12 15 9 9 13 7 7 2 2
ONCOLOGISTS Hematologist Oncologists 18 0 0 0 0 0 0 18 0 0 0
Surgical Oncologists 114 3 11 29 16 11 17 0 11 2 2
Radiation/Clinical Oncologists 620 103 98 69 64 58 58 44 35 15 14
Urologic Oncologists 14 0 0 0 0 0 0 0 14 0 0
Gynecologic Oncologist 26 0 0 0 26 0 0 0 0 0 0
Pathologists 248 41 40 28 26 24 23 18 14 6 6
PHARMACY Onco-Pharmacists 344 16 48 60 36 36 52 28 28 8 8
Onco-Pharmacy Technicians 516 24 72 90 54 54 78 42 42 12 12
PALLIATIVE CARE Palliative Care Specialists 248 41 40 28 26 24 23 18 14 6 6
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 773 50 211 164 62 99 35 35 35 18 17
Medical Physicists 258 17 71 55 21 33 12 12 12 6 6
Linac Engineers 65 5 18 14 6 9 3 3 3 2 2
Radiation Oncology Nurses 258 17 71 55 21 33 12 12 12 6 6
Linacs / Co 60 Megavolt Units 129 9 36 28 11 17 6 6 6 3 3
# of Brachytherapy units 65 5 18 14 6 9 3 3 3 2 2
# CT simulators 65 5 18 14 6 9 3 3 3 2 2
# of treatment planning computers 65 5 18 14 6 9 3 3 3 2 2
# of dosimetry/QA package 65 5 18 14 6 9 3 3 3 2 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1290 60 180 225 135 135 195 105 105 30 30

RESOURCES NEEDED IN REGIONS BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2010

Northeastern (Isan) Bangkok Metropolitan
(Krung Thep Mahanakhon
Lae Parimonthon)
Population 18966091 14626225
New Cancer Cases 33595 25908
SURGERY % of patients needing surgery 44.04 44.04
Number (#) of patients needing surgery 14796 11410
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 280.05 215.97
CHEMOTHERAPY % of patients requiring chemo 68.72 68.72
# of patients requiring chemo 23085 17803
ALOS for chemo 3.44 3.44
# of chemo beds/day 217.42 167.67
RADIOTHERAPY % of patients requiring RT 51.98 51.98
# of patients 17461 13466
# of admitted patients 4365 3366
ALOS 5 5
# of RT beds/day 59.76 46.08
ONCOLOGY BEDS Maximum # of beds/day 558 430
# of 24 bed oncology wards 24 18
ONCOLOGISTS Hematologist Oncologists 5 4
Surgical Oncologists 31 24
Radiation/Clinical Oncologists 168 130
Urologic Oncologists 4 3
Gynecologic Oncologist 8 6
Pathologists 68 52
PHARMACY Onco-Pharmacists 96 72
Onco-Pharmacy Technicians 144 108
PALLIATIVE CARE Palliative Care Specialists 68 52
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 210 162
Medical Physicists 70 54
Linac Engineers 18 14
Radiation Oncology Nurses 70 54
Linacs / Co 60 Megavolt Units 35 27
# of Brachytherapy units 18 14
# CT simulators 18 14
# of treatment planning computers 18 14
# of dosimetry/QA package 18 14
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 360 270

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