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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN UKRAINE

Cancer All cancers
excl. non-melanoma
skin cancer
Colorectal Urological Lung Breast Gynecological Stomach Head and Neck Hematological Pancreas Melanoma of skin
New Cancer Cases 140999 19049 17411 17251 16471 16197 11373 10983 7410 4728 2792
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 70 73.75 25 100 56.67 33 44 0 10 100
Number (#) of patients needing surgery 72250 13334 12841 4313 16471 9178 3753 4833 0 473 2792
Average length of stay (ALOS) for surgery 6.31 9 8 10 5 6.33 5 6.8 0 10 3
# of surgery beds/day 1248.84 328.57 281.25 118.08 225.48 159.15 51.38 89.97 0.00 12.94 22.93
CHEMOTHERAPY % of patients requiring chemo 70.12 90 62.5 50 100 66.67 66 66 100 50 50
# of patients requiring chemo 98864.27 17144 10882 8626 16471 10799 7506 7249 7410 2364 1396
ALOS for chemo 3.64 3 3.5 3 3 3 3 3.4 6.5 5 3
# of chemo beds/day 985.26 140.81 104.28 70.85 135.29 88.69 61.65 67.48 131.87 32.36 11.47
RADIOTHERAPY % of patients requiring RT 54.98 25 41.25 90 100 40 50 71 32.5 50 50
# of patients 77514.20 4762 7182 15526 16471 6479 5687 7798 2408 2364 1396
# of admitted patients 19378.55 1191 1796 3881 4118 1620 1422 1949 602 591 349
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 265.28 16.30 24.58 53.13 56.37 22.17 19.46 26.69 8.24 8.09 4.78
ONCOLOGY BEDS Maximum # of beds/day 2500 486 411 243 418 271 133 185 141 54 40
# of 24 bed oncology wards 105 21 18 11 18 12 6 8 6 3 2
ONCOLOGISTS Hematologist Oncologists 15 0 0 0 0 0 0 0 15 0 0
Surgical Oncologists 151 28 27 9 35 20 8 11 0 1 6
Radiation/Clinical Oncologists 705 96 88 87 83 81 57 55 38 24 14
Urologic Oncologists 35 0 35 0 0 0 0 0 0 0 0
Gynecologic Oncologist 33 0 0 0 0 33 0 0 0 0 0
Pathologists 282 39 35 35 33 33 23 22 15 10 6
PHARMACY Onco-Pharmacists 420 84 72 44 72 48 24 32 24 12 8
Onco-Pharmacy Technicians 630 126 108 66 108 72 36 48 36 18 12
PALLIATIVE CARE Palliative Care Specialists 282 39 35 35 33 33 23 22 15 10 6
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 931 58 87 187 198 78 69 94 29 29 17
Medical Physicists 311 20 29 63 66 26 23 32 10 10 6
Linac Engineers 78 5 8 16 17 7 6 8 3 3 2
Radiation Oncology Nurses 311 20 29 63 66 26 23 32 10 10 6
Linacs / Co 60 Megavolt Units 156 10 15 32 33 13 12 16 5 5 3
# of Brachytherapy units 78 5 8 16 17 7 6 8 3 3 2
# CT simulators 78 5 8 16 17 7 6 8 3 3 2
# of treatment planning computers 78 5 8 16 17 7 6 8 3 3 2
# of dosimetry/QA package 78 5 8 16 17 7 6 8 3 3 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1575 315 270 165 270 180 90 120 90 45 30

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2014

Kyïv Charkiv
Population 2868702 1451132
New Cancer Cases 9001 4553
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 4612 2333
Average length of stay (ALOS) for surgery 6.31 6.31
# of surgery beds/day 79.72 40.33
CHEMOTHERAPY % of patients requiring chemo 70.12 70.12
# of patients requiring chemo 6311 3192
ALOS for chemo 3.64 3.64
# of chemo beds/day 62.90 31.82
RADIOTHERAPY % of patients requiring RT 54.98 54.98
# of patients 4948 2503
# of admitted patients 1237 626
ALOS 5 5
# of RT beds/day 16.93 8.57
ONCOLOGY BEDS Maximum # of beds/day 160 81
# of 24 bed oncology wards 7 4
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 10 5
Radiation/Clinical Oncologists 46 23
Urologic Oncologists 3 2
Gynecologic Oncologist 3 2
Pathologists 19 10
PHARMACY Onco-Pharmacists 28 16
Onco-Pharmacy Technicians 42 24
PALLIATIVE CARE Palliative Care Specialists 19 10
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 60 31
Medical Physicists 20 11
Linac Engineers 5 3
Radiation Oncology Nurses 20 11
Linacs / Co 60 Megavolt Units 10 6
# of Brachytherapy units 5 3
# CT simulators 5 3
# of treatment planning computers 5 3
# of dosimetry/QA package 5 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 105 60

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 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
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