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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN URUGUAY

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Colorectal Lung Gynecological Hematological Head and Neck Stomach Pancreas Esophagus
New Cancer Cases 13357 2613 1842 1752 1411 897 885 641 577 454 317
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 43.24 73.75 100 70 25 56.67 0 44 33 10 20
Number (#) of patients needing surgery 5776 1927 1842 1226 353 508 0 282 190 45 63
Average length of stay (ALOS) for surgery 6.91 8 5 9 10 6.33 0 6.8 5 10 9
# of surgery beds/day 109.32 42.21 25.22 30.22 9.66 8.81 0.00 5.25 2.61 1.24 1.56
CHEMOTHERAPY % of patients requiring chemo 74.12 62.5 100 90 50 66.67 100 66 66 50 90
# of patients requiring chemo 9899.81 1633 1842 1577 706 598 885 423 381 227 285
ALOS for chemo 3.64 3.5 3 3 3 3 6.5 3.4 3 5 3
# of chemo beds/day 98.66 15.65 15.13 12.95 5.79 4.91 15.75 3.94 3.13 3.11 2.34
RADIOTHERAPY % of patients requiring RT 58.98 41.25 100 25 90 40 32.5 71 50 50 90
# of patients 7877.29 1078 1842 438 1270 359 288 455 289 227 285
# of admitted patients 1969.32 269 461 110 317 90 72 114 72 57 71
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 26.96 3.69 6.30 1.50 4.35 1.23 0.98 1.56 0.99 0.78 0.98
ONCOLOGY BEDS Maximum # of beds/day 235 62 47 45 20 15 17 11 7 6 5
# of 24 bed oncology wards 10 3 2 2 1 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 0 0 2 0 0 0 0
Surgical Oncologists 13 5 4 3 1 2 0 1 1 1 1
Radiation/Clinical Oncologists 67 14 10 9 8 5 5 4 3 3 2
Urologic Oncologists 6 6 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 2 0 0 0 0 2 0 0 0 0 0
Pathologists 27 6 4 4 3 2 2 2 2 1 1
PHARMACY Onco-Pharmacists 40 12 8 8 4 4 4 4 4 4 4
Onco-Pharmacy Technicians 60 18 12 12 6 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 27 6 4 4 3 2 2 2 2 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 95 13 23 6 16 5 4 6 4 3 4
Medical Physicists 32 5 8 2 6 2 2 2 2 1 2
Linac Engineers 8 2 2 1 2 1 1 1 1 1 1
Radiation Oncology Nurses 32 5 8 2 6 2 2 2 2 1 2
Linacs / Co 60 Megavolt Units 16 3 4 1 3 1 1 1 1 1 1
# of Brachytherapy units 8 2 2 1 2 1 1 1 1 1 1
# CT simulators 8 2 2 1 2 1 1 1 1 1 1
# of treatment planning computers 8 2 2 1 2 1 1 1 1 1 1
# of dosimetry/QA package 8 2 2 1 2 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 150 45 30 30 15 15 15 15 15 15 15

RESOURCES NEEDED IN CITIES BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2011

Montevideo Salto
Population 1304687 104011
New Cancer Cases 5140 410
SURGERY % of patients needing surgery 43.24 43.24
Number (#) of patients needing surgery 2223 177
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 42.07 3.36
CHEMOTHERAPY % of patients requiring chemo 74.12 74.12
# of patients requiring chemo 3810 304
ALOS for chemo 3.64 3.64
# of chemo beds/day 37.97 3.03
RADIOTHERAPY % of patients requiring RT 58.98 58.98
# of patients 3031 242
# of admitted patients 758 60
ALOS 5 5
# of RT beds/day 10.37 0.83
ONCOLOGY BEDS Maximum # of beds/day 91 8
# of 24 bed oncology wards 4 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 5 1
Radiation/Clinical Oncologists 26 3
Urologic Oncologists 3 1
Gynecologic Oncologist 1 1
Pathologists 11 1
PHARMACY Onco-Pharmacists 16 4
Onco-Pharmacy Technicians 24 6
PALLIATIVE CARE Palliative Care Specialists 11 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 37 3
Medical Physicists 13 1
Linac Engineers 4 1
Radiation Oncology Nurses 13 1
Linacs / Co 60 Megavolt Units 7 1
# of Brachytherapy units 4 1
# CT simulators 4 1
# of treatment planning computers 4 1
# of dosimetry/QA package 4 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 60 15

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