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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN TURKEY

Cancer All cancers
excl. non-melanoma
skin cancer
Lung Urological Breast Stomach Hematological Malignancies Colorectal Head & Neck Gynecological Brain, nervous system Esophagus
New Cancer Cases 95069 16451 12425 10065 8655 8078 7218 6972 5184 3253 3073
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 52.24 25 73.75 100.00 33 0 70 44 56.67 100 20
Number (#) of patients needing surgery 49666 4113 9163 10065 2856 0 5053 3068 2938 3253 615
Average length of stay (ALOS) for surgery 6.81 10 8 5 5 0 9 6.8 6.33 9 9
# of surgery beds/day 926.46 112.60 200.70 137.78 39.10 0.00 124.50 57.11 50.94 80.16 15.14
CHEMOTHERAPY % of patients requiring chemo 79.12 50 62.5 100 66 100 90 66 66.67 100 90
# of patients requiring chemo 75215.74 8226 7766 10065 5712 8078 6496 4602 3456 3253 2766
ALOS for chemo 3.44 3 3.5 3 3 6.5 3 3.4 3 3 3
# of chemo beds/day 708.40 67.56 74.41 82.67 46.92 143.76 53.36 42.83 28.39 26.72 22.72
RADIOTHERAPY % of patients requiring RT 63.98 90 41.25 100 50 32.5 25 71 40 100 90
# of patients 60820.39 14806 5125 10065 4328 2625 1805 4950 2074 3253 2766
# of admitted patients 15205.10 3701 1281 2516 1082 656 451 1238 518 813 691
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 208.15 50.67 17.54 34.45 14.81 8.98 6.18 16.94 7.10 11.13 9.47
ONCOLOGY BEDS Maximum # of beds/day 1844 231 293 255 101 153 185 117 87 119 48
# of 24 bed oncology wards 77 10 13 11 5 7 8 5 4 5 2
ONCOLOGISTS Hematologist Oncologists 17 0 0 0 0 17 0 0 0 0 0
Surgical Oncologists 104 9 20 21 6 0 11 7 7 7 2
Radiation/Clinical Oncologists 476 83 63 51 44 41 37 35 26 17 16
Urologic Oncologists 25 0 25 0 0 0 0 0 0 0 0
Gynecologic Oncologist 11 0 0 0 0 0 0 0 11 0 0
Neuro-Oncologists 7 0 0 0 0 0 0 0 0 7 0
Pathologists 191 33 25 21 18 17 15 14 11 7 7
PHARMACY Onco-Pharmacists 308 40 52 44 20 28 32 20 16 20 8
Onco-Pharmacy Technicians 462 60 78 66 30 42 48 30 24 30 12
PALLIATIVE CARE Palliative Care Specialists 191 33 25 21 18 17 15 14 11 7 7
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 730 178 62 121 52 32 22 60 25 40 34
Medical Physicists 244 60 21 41 18 11 8 20 9 14 12
Linac Engineers 61 15 6 11 5 3 2 5 3 4 3
Radiation Oncology Nurses 244 60 21 41 18 11 8 20 9 14 12
Linacs / Co 60 Megavolt Units 122 30 11 21 9 6 4 10 5 7 6
# of Brachytherapy units 61 15 6 11 5 3 2 5 3 4 3
# CT simulators 61 15 6 11 5 3 2 5 3 4 3
# of treatment planning computers 61 15 6 11 5 3 2 5 3 4 3
# of dosimetry/QA package 61 15 6 11 5 3 2 5 3 4 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1155 150 195 165 75 105 120 75 60 75 30

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

Istanbul Ankara
Population 13301345 4338620
New Cancer Cases 17141 5591
SURGERY % of patients needing surgery 52.24 52.24
Number (#) of patients needing surgery 8955 2921
Average length of stay (ALOS) for surgery 6.81 6.81
# of surgery beds/day 167.04 54.48
CHEMOTHERAPY % of patients requiring chemo 79.12 79.12
# of patients requiring chemo 13561 4423
ALOS for chemo 3.44 3.44
# of chemo beds/day 127.72 41.66
RADIOTHERAPY % of patients requiring RT 63.98 63.98
# of patients 10966 3577
# of admitted patients 2741 894
ALOS 5 5
# of RT beds/day 37.53 12.24
ONCOLOGY BEDS Maximum # of beds/day 333 109
# of 24 bed oncology wards 14 5
ONCOLOGISTS Hematologist Oncologists 4 1
Surgical Oncologists 19 7
Radiation/Clinical Oncologists 86 28
Urologic Oncologists 5 2
Gynecologic Oncologist 2 1
Neuro-Oncologists 2 1
Pathologists 35 12
PHARMACY Onco-Pharmacists 56 20
Onco-Pharmacy Technicians 84 30
PALLIATIVE CARE Palliative Care Specialists 35 12
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 132 43
Medical Physicists 44 15
Linac Engineers 11 4
Radiation Oncology Nurses 44 15
Linacs / Co 60 Megavolt Units 22 8
# of Brachytherapy units 11 4
# CT simulators 11 4
# of treatment planning computers 11 4
# of dosimetry/QA package 11 4
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 210 75

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