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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN THAILAND

Cancer All cancers
excl. non-melanoma
skin cancer
Liver Gynecological Lung Breast Head and Neck Colorectal Hematological Urological Stomach Brain, nervous system
New Cancer Cases 112666 22092 14458 14129 12566 12026 9947 8172 5907 2653 1635
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 5 56.67 25 100.00 44 70 0 73.75 33 100
Number (#) of patients needing surgery 57169 1105 8193 3532 12566 5291 6963 0 4356 875 1635
Average length of stay (ALOS) for surgery 6.91 10 6.33 10 5 6.8 9 0 8 5 9
# of surgery beds/day 1082.07 30.24 142.06 96.71 172.02 98.51 171.57 0.00 95.42 11.98 40.29
CHEMOTHERAPY % of patients requiring chemo 72.12 20 66.67 50 100 66 90 100 62.5 66 100
# of patients requiring chemo 81251.34 4418 9639 7065 12566 7937 8952 8172 3692 1751 1635
ALOS for chemo 3.44 3 3 3 3 3.4 3 6.5 3.5 3 3
# of chemo beds/day 765.24 36.29 79.17 58.02 103.21 73.88 73.53 145.43 35.38 14.38 13.43
RADIOTHERAPY % of patients requiring RT 56.98 20 40 90 100 71 25 32.5 41.25 50 100
# of patients 64191.45 4418 5783 12716 12566 8538 2487 2656 2437 1327 1635
# of admitted patients 16047.86 1105 1446 3179 3142 2135 622 664 609 332 409
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 219.68 15.12 19.79 43.52 43.00 29.22 8.51 9.09 8.34 4.54 5.60
ONCOLOGY BEDS Maximum # of beds/day 2067 82 242 199 319 202 254 155 140 31 60
# of 24 bed oncology wards 87 4 11 9 14 9 11 7 6 2 3
ONCOLOGISTS Hematologist Oncologists 17 0 0 0 0 0 0 17 0 0 0
Surgical Oncologists 120 3 18 8 27 12 15 0 10 2 4
Radiation / Clinical Oncologists 564 111 73 71 63 61 50 41 30 14 9
Urologic Oncologists 12 0 0 0 0 0 0 0 12 0 0
Gynecologic Oncologist 29 0 29 0 0 0 0 0 0 0 0
Neuro-Oncologists 4 0 0 0 0 0 0 0 0 0 4
Pathologists 226 45 29 29 26 25 20 17 12 6 4
PHARMACY Onco-Pharmacists 348 16 44 36 56 36 44 28 24 8 12
Onco-Pharmacy Technicians 522 24 66 54 84 54 66 42 36 12 18
PALLIATIVE CARE Palliative Care Specialists 226 45 29 29 26 25 20 17 12 6 4
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 771 54 70 153 151 103 30 32 30 16 20
Medical Physicists 257 18 24 51 51 35 10 11 10 6 7
Linac Engineers 65 5 6 13 13 9 3 3 3 2 2
Radiation Oncology Nurses 257 18 24 51 51 35 10 11 10 6 7
Linacs / Co 60 Megavolt Units 129 9 12 26 26 18 5 6 5 3 4
# of Brachytherapy units 65 5 6 13 13 9 3 3 3 2 2
# CT simulators 65 5 6 13 13 9 3 3 3 2 2
# of treatment planning computers 65 5 6 13 13 9 3 3 3 2 2
# of dosimetry/QA package 65 5 6 13 13 9 3 3 3 2 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1305 60 165 135 210 135 165 105 90 30 45

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

Northeastern Bangkok
[and Vicinities]
Population 18808012 14565547
New Cancer Cases 31447 24353
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 15957 12357
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 302.02 233.89
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 22679 17563
ALOS for chemo 3.44 3.44
# of chemo beds/day 213.59 165.41
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 17917 13875
# of admitted patients 4479 3469
ALOS 5 5
# of RT beds/day 61.32 47.49
ONCOLOGY BEDS Maximum # of beds/day 577 447
# of 24 bed oncology wards 25 19
ONCOLOGISTS Hematologist Oncologists 5 4
Surgical Oncologists 34 26
Radiation / Clinical Oncologists 158 122
Urologic Oncologists 4 3
Gynecologic Oncologist 9 7
Neuro-Oncologists 2 1
Pathologists 63 49
PHARMACY Onco-Pharmacists 100 76
Onco-Pharmacy Technicians 150 114
PALLIATIVE CARE Palliative Care Specialists 63 49
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 216 167
Medical Physicists 72 56
Linac Engineers 18 14
Radiation Oncology Nurses 72 56
Linacs / Co 60 Megavolt Units 36 28
# 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 375 285

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 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 Malignancies 0 0 100 5 40 5
Leukaemia Hematological Malignancies 0 0 100 7 20 5
Multiple myeloma Hematological Malignancies 0 0 100 7 20 5
Non-Hodgkin lymphoma Hematological Malignancies 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 10 most frequently occurring cancers