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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN URUGUAY

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Breast Colorectal Lung Hematological Malignancies Gynecological Head & Neck Stomach Pancreas Esophagus
New Cancer Cases 14584 3421 2258 1564 1480 949 734 708 561 502 402
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 43.24 73.75 100.00 70 25 0 56.67 44 33 10 20
Number (#) of patients needing surgery 6306 2523 2258 1095 370 0 416 312 185 50 80
Average length of stay (ALOS) for surgery 6.91 8 5 9 10 0 6.33 6.8 5 10 9
# of surgery beds/day 119.36 55.26 30.91 26.98 10.13 0.00 7.21 5.80 2.53 1.37 1.98
CHEMOTHERAPY % of patients requiring chemo 74.12 62.5 100 90 50 100 66.67 66 66 50 90
# of patients requiring chemo 10809.22 2138 2258 1408 740 949 489 467 370 251 362
ALOS for chemo 3.64 3.5 3 3 3 6.5 3 3.4 3 5 3
# of chemo beds/day 107.72 20.49 18.55 11.56 6.08 16.89 4.02 4.35 3.04 3.44 2.97
RADIOTHERAPY % of patients requiring RT 58.98 41.25 100 25 90 32.5 40 71 50 50 90
# of patients 8600.91 1411 2258 391 1332 308 294 503 281 251 362
# of admitted patients 2150.23 353 565 98 333 77 73 126 70 63 90
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 29.44 4.83 7.73 1.34 4.56 1.06 1.00 1.72 0.96 0.86 1.24
ONCOLOGY BEDS Maximum # of beds/day 257 81 58 40 21 18 13 12 7 6 7
# of 24 bed oncology wards 11 4 3 2 1 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 0 2 0 0 0 0 0
Surgical Oncologists 14 6 5 3 1 0 1 1 1 1 1
Radiation/Clinical Oncologists 73 18 12 8 8 5 4 4 3 3 3
Urologic Oncologists 7 7 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 2 0 0 0 0 0 2 0 0 0 0
Pathologists 30 7 5 4 3 2 2 2 2 2 1
PHARMACY Onco-Pharmacists 44 16 12 8 4 4 4 4 4 4 4
Onco-Pharmacy Technicians 66 24 18 12 6 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 30 7 5 4 3 2 2 2 2 2 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 104 17 28 5 16 4 4 7 4 4 5
Medical Physicists 35 6 10 2 6 2 2 3 2 2 2
Linac Engineers 9 2 3 1 2 1 1 1 1 1 1
Radiation Oncology Nurses 35 6 10 2 6 2 2 3 2 2 2
Linacs / Co 60 Megavolt Units 18 3 5 1 3 1 1 2 1 1 1
# of Brachytherapy units 9 2 3 1 2 1 1 1 1 1 1
# CT simulators 9 2 3 1 2 1 1 1 1 1 1
# of treatment planning computers 9 2 3 1 2 1 1 1 1 1 1
# of dosimetry/QA package 9 2 3 1 2 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 165 60 45 30 15 15 15 15 15 15 15

CANCER INCIDENCE IN MOST POPULOUS CITY BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2011

Montevideo
Population 1304687
New Cancer Cases 5682
SURGERY % of patients needing surgery 43.24
Number (#) of patients needing surgery 2457
Average length of stay (ALOS) for surgery 6.91
# of surgery beds/day 46.50
CHEMOTHERAPY % of patients requiring chemo 74.12
# of patients requiring chemo 4211
ALOS for chemo 3.64
# of chemo beds/day 41.97
RADIOTHERAPY % of patients requiring RT 58.98
# of patients 3351
# of admitted patients 838
ALOS 5
# of RT beds/day 11.47
ONCOLOGY BEDS Maximum # of beds/day 100
# of 24 bed oncology wards 5
ONCOLOGISTS Hematologist Oncologists 1
Surgical Oncologists 6
Radiation/Clinical Oncologists 29
Urologic Oncologists 3
Gynecologic Oncologist 1
Pathologists 12
PHARMACY Onco-Pharmacists 20
Onco-Pharmacy Technicians 30
PALLIATIVE CARE Palliative Care Specialists 12
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 41
Medical Physicists 14
Linac Engineers 4
Radiation Oncology Nurses 14
Linacs / Co 60 Megavolt Units 7
# of Brachytherapy units 4
# CT simulators 4
# of treatment planning computers 4
# of dosimetry/QA package 4
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 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