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U.S. National Institutes of Health
Last Updated: 01/08/14

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN TUNISIA

Cancer All cancers
excl. non-melanoma
skin cancer
Gynecological Lung Urological Breast Hematological Malignancies Head & Neck Colorectal Stomach Brain, nervous system Gallbladder
New Cancer Cases 11938 2201 1655 1627 1543 1300 1103 1029 431 246 231
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 53.54 56.67 25 73.75 100.00 0 44 70 33 100 33
Number (#) of patients needing surgery 6392 1248 414 1200 1543 0 486 721 143 246 77
Average length of stay (ALOS) for surgery 6.81 6.33 10 8 5 0 6.8 9 5 9 9
# of surgery beds/day 120 22 12 27 22 0 10 18 2 7 2
CHEMOTHERAPY % of patients requiring chemo 76.72 66.67 50 62.5 100 100 66 90 66 100 66
# of patients requiring chemo 9159 1468 828 1017 1543 1300 728 927 285 246 153
ALOS for chemo 3.44 3 3 3.5 3 6.5 3.4 3 3 3 3
# of chemo beds/day 87 13 7 10 13 24 7 8 3 3 2
RADIOTHERAPY % of patients requiring RT 59.98 40 90 41.25 100 32.5 71 25 50 100 50
# of patients 7160 881 1490 672 1543 423 784 258 216 246 116
# of admitted patients 1790 221 373 168 386 106 196 65 54 62 29
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 25 4 6 3 6 2 3 1 1 1 1
ONCOLOGY BEDS Maximum # of beds/day 232 39 25 40 41 26 20 27 6 11 5
# of 24 bed oncology wards 10 2 2 2 2 2 1 2 1 1 1
ONCOLOGISTS Hematologist Oncologists 3 0 0 0 0 3 0 0 0 0 0
Surgical Oncologists 14 3 1 3 4 0 2 2 1 1 1
Radiation/Clinical Oncologists 60 12 9 9 8 7 6 6 3 2 2
Urologic Oncologists 4 0 0 4 0 0 0 0 0 0 0
Gynecologic Oncologist 5 5 0 0 0 0 0 0 0 0 0
Neuro-Oncologists 1 0 0 0 0 0 0 0 0 1 0
Pathologists 24 5 4 4 4 3 3 3 1 1 1
PHARMACY Onco-Pharmacists 40 8 8 8 8 8 4 8 4 4 4
Onco-Pharmacy Technicians 60 12 12 12 12 12 6 12 6 6 6
PALLIATIVE CARE Palliative Care Specialists 24 5 4 4 4 3 3 3 1 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 86 11 18 9 19 6 10 4 3 3 2
Medical Physicists 29 4 6 3 7 2 4 2 1 1 1
Linac Engineers 8 1 2 1 2 1 1 1 1 1 1
Radiation Oncology Nurses 29 4 6 3 7 2 4 2 1 1 1
Linacs / Co 60 Megavolt Units 15 2 3 2 4 1 2 1 1 1 1
# of Brachytherapy units 8 1 2 1 2 1 1 1 1 1 1
# CT simulators 8 1 2 1 2 1 1 1 1 1 1
# of treatment planning computers 8 1 2 1 2 1 1 1 1 1 1
# of dosimetry/QA package 8 1 2 1 2 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 150 30 30 30 30 30 15 30 15 15 15

CANCER INCIDENCE IN GOVERNORATES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2011

Tunis Safaqis
Population 1002900 944500
New Cancer Cases 1178 1109
SURGERY % of patients needing surgery 53.54 53.54
Number (#) of patients needing surgery 631 594
Average length of stay (ALOS) for surgery 6.81 6.81
# of surgery beds/day 12 12
CHEMOTHERAPY % of patients requiring chemo 76.72 76.72
# of patients requiring chemo 904 851
ALOS for chemo 3.44 3.44
# of chemo beds/day 9 9
RADIOTHERAPY % of patients requiring RT 59.98 59.98
# of patients 707 666
# of admitted patients 177 167
ALOS 5 5
# of RT beds/day 3 3
ONCOLOGY BEDS Maximum # of beds/day 24 24
# of 24 bed oncology wards 1 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 2
Radiation / Clinical Oncologists 6 6
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 3 3
PHARMACY Onco-Pharmacists 4 4
Onco-Pharmacy Technicians 6 6
PALLIATIVE CARE Palliative Care Specialists 3 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 9 8
Medical Physicists 3 3
Linac Engineers 1 1
Radiation Oncology Nurses 3 3
Linacs / Co 60 Megavolt Units 2 2
# of Brachytherapy units 1 1
# CT simulators 1 1
# of treatment planning computers 1 1
# of dosimetry/QA package 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 15 15

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 top 10 cancers