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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN UZBEKISTAN

Cancer All cancers
excl. non-melanoma
skin cancer
Stomach Breast Gynecological Hematological Malignancies Lung Head & Neck Esophagus Urological Colorectal Liver
New Cancer Cases 17971 2353 2174 2155 1560 1406 1250 1093 987 971 913
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 42.74 33 100.0 56.67 0 25 44 20 73.75 70 5
Number (#) of patients needing surgery 7681.10 776 2174 1221 0 352 550 219 728 680 46
Average length of stay (ALOS) for surgery 6.91 5 5 6.33 0 10 6.8 9 8 9 10
# of surgery beds/day 145.39 10.63 29.76 21.17 0.00 9.62 10.24 5.39 15.94 16.75 1.25
CHEMOTHERAPY % of patients requiring chemo 71.12 66 100 66.67 100 50 66 90 62.5 90 20
# of patients requiring chemo 12780.38 1553 2174 1437 1560 703 825 984 617 874 183
ALOS for chemo 3.44 3 3 3 6.5 3 3.4 3 3.5 3 3
# of chemo beds/day 120.37 12.76 17.86 11.80 27.76 5.77 7.68 8.08 5.91 7.18 1.50
RADIOTHERAPY % of patients requiring RT 55.98 50 100 40 32.5 90 71 90 41.25 25 20
# of patients 10059.27 1177 2174 862 507 1265 888 984 407 243 183
# of admitted patients 2514.82 294 544 216 127 316 222 246 102 61 46
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 34.43 4.03 7.44 2.95 1.74 4.33 3.04 3.37 1.39 0.83 0.62
ONCOLOGY BEDS Maximum # of beds/day 301 28 56 36 30 20 21 17 24 25 4
# of 24 bed oncology wards 13 2 3 2 2 1 1 1 1 2 1
ONCOLOGISTS Hematologist Oncologists 4 0 0 0 4 0 0 0 0 0 0
Surgical Oncologists 17 2 5 3 0 1 2 1 2 2 1
Radiation/Clinical Oncologists 90 12 11 11 8 8 7 6 5 5 5
Urologic Oncologists 2 0 0 0 0 0 0 0 2 0 0
Gynecologic Oncologist 5 0 0 5 0 0 0 0 0 0 0
Pathologists 36 5 5 5 4 3 3 3 2 2 2
PHARMACY Onco-Pharmacists 52 8 12 8 8 4 4 4 4 8 4
Onco-Pharmacy Technicians 78 12 18 12 12 6 6 6 6 12 6
PALLIATIVE CARE Palliative Care Specialists 36 5 5 5 4 3 3 3 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 121 15 27 11 7 16 11 12 5 3 3
Medical Physicists 41 5 9 4 3 6 4 4 2 1 1
Linac Engineers 11 2 3 1 1 2 1 1 1 1 1
Radiation Oncology Nurses 41 5 9 4 3 6 4 4 2 1 1
Linacs / Co 60 Megavolt Units 21 3 5 2 2 3 2 2 1 1 1
# of Brachytherapy units 11 2 3 1 1 2 1 1 1 1 1
# CT simulators 11 2 3 1 1 2 1 1 1 1 1
# of treatment planning computers 11 2 3 1 1 2 1 1 1 1 1
# of dosimetry/QA package 11 2 3 1 1 2 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 195 30 45 30 30 15 15 15 15 30 15

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

Samarqand Fergana
Population 3326200 3280800
New Cancer Cases 1230 1213
SURGERY % of patients needing surgery 42.74 42.74
# of patients needing surgery 526 518
ALOS for surgery 6.91 6.91
# of surgery beds/day 9.95 9.81
CHEMOTHERAPY % of patients requiring chemo 71.12 71.12
# of patients requiring chemo 875 863
ALOS for chemo 3.44 3.44
# of chemo beds/day 8.24 8.12
RADIOTHERAPY % of patients requiring RT 55.98 55.98
# of patients 688 679
# of admitted patients 172 170
ALOS 5 5
# of RT beds/day 2.36 2.32
ONCOLOGY BEDS Maximum # of beds/day 21 21
# of 24 bed oncology wards 1 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 3 3
Radiation/Clinical Oncologists 7 7
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 3 3
PHARMACY Onco-Pharmacists 4 4
Onco-Pharmacy Technicians 6 6
PALLIATIVE CARE Palliative Care Specialists 3 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 9 9
Medical Physicists 3 3
Linac Engineers 1 1
Radiation Oncology Nurses 3 3
Linacs / Co 60 Megavolt Units 2 2
# of Brachytherapy units 1 1
# CT simulators 1 1
# of treatment planning computers 1 1
# of dosimetry/QA package 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 15 15

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