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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN UKRAINE

Cancer All cancers
excl. non-melanoma
skin cancer
Colorectal Urological Lung Gynecological Breast Stomach Head & Neck Hematological Malignancies Pancreas Melanoma of skin
New Cancer Cases 142960 19267 17876 17498 16379 16366 12065 10903 7619 4875 2730
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 70 73.75 25 56.67 100.00 33 44 0 10 100
Number (#) of patients needing surgery 73255 13487 13184 4375 9281 16366 3981 4797 0 488 2730
Average length of stay (ALOS) for surgery 6.31 9 8 10 6.33 5 5 6.8 0 10 3
# of surgery beds/day 1266.21 332.33 288.76 119.77 160.94 224.04 54.50 89.31 0.00 13.35 22.42
CHEMOTHERAPY % of patients requiring chemo 70.12 90 62.5 50 66.67 100 66 66 100 50 50
# of patients requiring chemo 100239.26 17340 11173 8749 10920 16366 7963 7196 7619 2438 1365
ALOS for chemo 3.64 3 3.5 3 3 3 3 3.4 6.5 5 3
# of chemo beds/day 998.96 142.43 107.06 71.86 89.69 134.42 65.40 66.99 135.59 33.37 11.21
RADIOTHERAPY % of patients requiring RT 54.98 25 41.25 90 40 100 50 71 32.5 50 50
# of patients 78592.26 4817 7374 15748 6552 16366 6033 7741 2476 2438 1365
# of admitted patients 19648.07 1204 1843 3937 1638 4092 1508 1935 619 609 341
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 268.97 16.48 25.24 53.90 22.42 56.01 20.65 26.49 8.47 8.34 4.67
ONCOLOGY BEDS Maximum # of beds/day 2535 492 422 246 274 415 141 183 145 56 39
# of 24 bed oncology wards 106 21 18 11 12 18 6 8 7 3 2
ONCOLOGISTS Hematologist Oncologists 16 0 0 0 0 0 0 0 16 0 0
Surgical Oncologists 153 29 28 10 20 35 9 10 0 2 6
Radiation/Clinical Oncologists 715 97 90 88 82 82 61 55 39 25 14
Urologic Oncologists 36 0 36 0 0 0 0 0 0 0 0
Gynecologic Oncologist 33 0 0 0 33 0 0 0 0 0 0
Pathologists 286 39 36 35 33 33 25 22 16 10 6
PHARMACY Onco-Pharmacists 424 84 72 44 48 72 24 32 28 12 8
Onco-Pharmacy Technicians 636 126 108 66 72 108 36 48 42 18 12
PALLIATIVE CARE Palliative Care Specialists 286 39 36 35 33 33 25 22 16 10 6
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 944 58 89 189 79 197 73 93 30 30 17
Medical Physicists 315 20 30 63 27 66 25 31 10 10 6
Linac Engineers 79 5 8 16 7 17 7 8 3 3 2
Radiation Oncology Nurses 315 20 30 63 27 66 25 31 10 10 6
Linacs / Co 60 Megavolt Units 158 10 15 32 14 33 13 16 5 5 3
# of Brachytherapy units 79 5 8 16 7 17 7 8 3 3 2
# CT simulators 79 5 8 16 7 17 7 8 3 3 2
# of treatment planning computers 79 5 8 16 7 17 7 8 3 3 2
# of dosimetry/QA package 79 5 8 16 7 17 7 8 3 3 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1590 315 270 165 180 270 90 120 105 45 30

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2012

Kyïv Charkiv
Population 2814258 1441362
New Cancer Cases 8748 4481
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 4483 2296
Average length of stay (ALOS) for surgery 6.31 6.31
# of surgery beds/day 77.48 39.69
CHEMOTHERAPY % of patients requiring chemo 70.12 70.12
# of patients requiring chemo 6134 3142
ALOS for chemo 3.64 3.64
# of chemo beds/day 61.13 31.31
RADIOTHERAPY % of patients requiring RT 54.98 54.98
# of patients 4809 2463
# of admitted patients 1202 616
ALOS 5 5
# of RT beds/day 16.46 8.43
ONCOLOGY BEDS Maximum # of beds/day 156 80
# of 24 bed oncology wards 7 4
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 10 5
Radiation/Clinical Oncologists 44 23
Urologic Oncologists 3 2
Gynecologic Oncologist 3 2
Pathologists 18 9
PHARMACY Onco-Pharmacists 28 16
Onco-Pharmacy Technicians 42 24
PALLIATIVE CARE Palliative Care Specialists 18 9
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 58 30
Medical Physicists 20 10
Linac Engineers 5 3
Radiation Oncology Nurses 20 10
Linacs / Co 60 Megavolt Units 10 5
# 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 + 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