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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN UZBEKISTAN

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Gynecological Stomach Head and Neck Lung Hematological Esophagus Colorectal Liver Urological
New Cancer Cases 22629 3370 2833 2561 2041 1681 1675 1180 1124 1078 1037
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 42.74 100 56.67 33 44 25 0 20 70 5 73.75
Number (#) of patients needing surgery 9672 3370 1605 845 898 420 0 236 787 54 765
Average length of stay (ALOS) for surgery 6.91 5 6.33 5 6.8 10 0 9 9 10 8
# of surgery beds/day 183.07 46.13 27.84 11.57 16.72 11.51 0.00 5.82 19.39 1.48 16.75
CHEMOTHERAPY % of patients requiring chemo 71.12 100 66.67 66 66 50 100 90 90 20 62.5
# of patients requiring chemo 16093.07 3370 1889 1690 1347 841 1675 1062 1012 216 648
ALOS for chemo 3.44 3 3 3 3.4 3 6.5 3 3 3 3.5
# of chemo beds/day 151.57 27.68 15.51 13.88 12.54 6.90 29.81 8.72 8.31 1.77 6.21
RADIOTHERAPY % of patients requiring RT 55.98 100 40 50 71 90 32.5 90 25 20 41.25
# of patients 12666.58 3370 1133 1281 1449 1513 544 1062 281 216 428
# of admitted patients 3166.65 843 283 320 362 378 136 266 70 54 107
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 43.35 11.53 3.88 4.38 4.96 5.18 1.86 3.63 0.96 0.74 1.46
ONCOLOGY BEDS Maximum # of beds/day 378 86 48 30 35 24 32 19 29 4 25
# of 24 bed oncology wards 16 4 2 2 2 1 2 1 2 1 2
ONCOLOGISTS Hematologist Oncologists 4 0 0 0 0 0 4 0 0 0 0
Surgical Oncologists 21 8 4 2 2 1 0 1 2 1 2
Radiation/Clinical Oncologists 114 17 15 13 11 9 9 6 6 6 6
Urologic Oncologists 3 0 0 0 0 0 0 0 0 0 3
Gynecologic Oncologist 6 0 6 0 0 0 0 0 0 0 0
Pathologists 46 7 6 6 5 4 4 3 3 3 3
PHARMACY Onco-Pharmacists 64 16 8 8 8 4 8 4 8 4 8
Onco-Pharmacy Technicians 96 24 12 12 12 6 12 6 12 6 12
PALLIATIVE CARE Palliative Care Specialists 46 7 6 6 5 4 4 3 3 3 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 152 41 14 16 18 19 7 13 4 3 6
Medical Physicists 51 14 5 6 6 7 3 5 2 1 2
Linac Engineers 13 4 2 2 2 2 1 2 1 1 1
Radiation Oncology Nurses 51 14 5 6 6 7 3 5 2 1 2
Linacs / Co 60 Megavolt Units 26 7 3 3 3 4 2 3 1 1 1
# of Brachytherapy units 13 4 2 2 2 2 1 2 1 1 1
# CT simulators 13 4 2 2 2 2 1 2 1 1 1
# of treatment planning computers 13 4 2 2 2 2 1 2 1 1 1
# of dosimetry/QA package 13 4 2 2 2 2 1 2 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 240 60 30 30 30 15 30 15 30 15 30

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

Samarqand Fergana
Population 3445600 3386500
New Cancer Cases 2778 2730
SURGERY % of patients needing surgery 42.74 42.74
Number (#) of patients needing surgery 1187 1167
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 22.47 22.09
CHEMOTHERAPY % of patients requiring chemo 71.12 71.12
# of patients requiring chemo 1976 1941
ALOS for chemo 3.44 3.44
# of chemo beds/day 18.61 18.29
RADIOTHERAPY % of patients requiring RT 55.98 55.98
# of patients 1555 1528
# of admitted patients 389 382
ALOS 5 5
# of RT beds/day 5.32 5.23
ONCOLOGY BEDS Maximum # of beds/day 47 46
# of 24 bed oncology wards 2 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 3 3
Radiation/Clinical Oncologists 14 14
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 6 6
PHARMACY Onco-Pharmacists 8 8
Onco-Pharmacy Technicians 12 12
PALLIATIVE CARE Palliative Care Specialists 6 6
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 19 19
Medical Physicists 7 7
Linac Engineers 2 2
Radiation Oncology Nurses 7 7
Linacs / Co 60 Megavolt Units 4 4
# of Brachytherapy units 2 2
# CT simulators 2 2
# of treatment planning computers 2 2
# of dosimetry/QA package 2 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 30 30

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