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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN TURKEY

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Lung Breast Head and Neck Hematological Colorectal Stomach Gynecological Brain, nervous system Pancreas
New Cancer Cases 147964 28719 24489 15230 14048 12828 11930 10120 7873 4488 3174
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 73.75 25 100 44 0 70 33 56.67 100 10
Number (#) of patients needing surgery 75819 21180 6122 15230 6181 0 8351 3340 4461 4488 317
Average length of stay (ALOS) for surgery 6.91 8 10 5 6.8 0 9 5 6.33 9 10
# of surgery beds/day 1435.08 463.91 167.62 208.49 115.08 0.00 205.77 45.72 77.36 110.59 8.69
CHEMOTHERAPY % of patients requiring chemo 75.12 62.5 50 100 66 100 90 66 66.67 100 50
# of patients requiring chemo 111146.12 17949 12245 15230 9272 12828 10737 6679 5249 4488 1587
ALOS for chemo 3.64 3.5 3 3 3.4 6.5 3 3 3 3 5
# of chemo beds/day 1107.66 172.00 100.57 125.09 86.31 228.29 88.19 54.86 43.11 36.86 21.72
RADIOTHERAPY % of patients requiring RT 59.98 41.25 90 100 71 32.5 25 50 40 100 50
# of patients 88741.41 11847 22040 15230 9974 4169 2983 5060 3149 4488 1587
# of admitted patients 22185.35 2962 5510 3808 2494 1042 746 1265 787 1122 397
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 303.70 40.54 75.43 52.12 34.13 14.27 10.21 17.32 10.78 15.36 5.43
ONCOLOGY BEDS Maximum # of beds/day 2847 677 344 386 236 243 305 118 132 163 36
# of 24 bed oncology wards 119 29 15 17 10 11 13 5 6 7 2
ONCOLOGISTS Hematologist Oncologists 26 0 0 0 0 26 0 0 0 0 0
Surgical Oncologists 158 45 13 32 13 0 18 7 10 10 1
Radiation/Clinical Oncologists 740 144 123 77 71 65 60 51 40 23 16
Urologic Oncologists 58 58 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 16 0 0 0 0 0 0 0 16 0 0
Neuro-Oncologists 9 0 0 0 0 0 0 0 0 9 0
Pathologists 296 58 49 31 29 26 24 21 16 9 7
PHARMACY Onco-Pharmacists 476 116 60 68 40 44 52 20 24 28 8
Onco-Pharmacy Technicians 714 174 90 102 60 66 78 30 36 42 12
PALLIATIVE CARE Palliative Care Specialists 296 58 49 31 29 26 24 21 16 9 7
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 1065 143 265 183 120 51 36 61 38 54 20
Medical Physicists 355 48 89 61 40 17 12 21 13 18 7
Linac Engineers 89 12 23 16 10 5 3 6 4 5 2
Radiation Oncology Nurses 355 48 89 61 40 17 12 21 13 18 7
Linacs / Co 60 Megavolt Units 178 24 45 31 20 9 6 11 7 9 4
# of Brachytherapy units 89 12 23 16 10 5 3 6 4 5 2
# CT simulators 89 12 23 16 10 5 3 6 4 5 2
# of treatment planning computers 89 12 23 16 10 5 3 6 4 5 2
# of dosimetry/QA package 89 12 23 16 10 5 3 6 4 5 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1785 435 225 255 150 165 195 75 90 105 30

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2013

Istanbul Ankara
Population 13820334 4474305
New Cancer Cases 27446 8886
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 14064 4553
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 266.19 86.18
CHEMOTHERAPY % of patients requiring chemo 75.12 75.12
# of patients requiring chemo 20617 6675
ALOS for chemo 3.64 3.64
# of chemo beds/day 205.46 66.52
RADIOTHERAPY % of patients requiring RT 59.98 59.98
# of patients 16461 5329
# of admitted patients 4115 1332
ALOS 5 5
# of RT beds/day 56.33 18.24
ONCOLOGY BEDS Maximum # of beds/day 528 171
# of 24 bed oncology wards 22 8
ONCOLOGISTS Hematologist Oncologists 5 2
Surgical Oncologists 30 10
Radiation/Clinical Oncologists 138 45
Urologic Oncologists 11 4
Gynecologic Oncologist 3 1
Neuro-Oncologists 2 1
Pathologists 55 18
PHARMACY Onco-Pharmacists 88 32
Onco-Pharmacy Technicians 132 48
PALLIATIVE CARE Palliative Care Specialists 55 18
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 198 64
Medical Physicists 66 22
Linac Engineers 17 6
Radiation Oncology Nurses 66 22
Linacs / Co 60 Megavolt Units 33 11
# of Brachytherapy units 17 6
# CT simulators 17 6
# of treatment planning computers 17 6
# of dosimetry/QA package 17 6
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 330 120

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