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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN VENEZUELA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Gynecological Breast Lung Hematological Colorectal Head and Neck Stomach Brain, nervous system Liver
New Cancer Cases 41846 6493 6488 5948 4301 3085 2909 2782 2602 992 988
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 73.75 56.67 100 25 0 70 44 33 100 5
Number (#) of patients needing surgery 21233 4789 3677 5948 1075 0 2036 1224 859 992 49
Average length of stay (ALOS) for surgery 6.91 8 6.33 5 10 0 9 6.8 5 9 10
# of surgery beds/day 401.90 104.88 63.75 81.42 29.44 0.00 50.18 22.79 11.75 24.44 1.35
CHEMOTHERAPY % of patients requiring chemo 72.12 62.5 66.67 100 50 100 90 66 66 100 20
# of patients requiring chemo 30178.08 4058 4326 5948 2151 3085 2618 1836 1717 992 198
ALOS for chemo 3.44 3.5 3 3 3 6.5 3 3.4 3 3 3
# of chemo beds/day 284.22 38.89 35.53 48.85 17.66 54.90 21.50 17.09 14.11 8.15 1.62
RADIOTHERAPY % of patients requiring RT 56.98 41.25 40 100 90 32.5 25 71 50 100 20
# of patients 23841.76 2678 2595 5948 3871 1003 727 1975 1301 992 198
# of admitted patients 5960.44 670 649 1487 968 251 182 494 325 248 49
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 81.59 9.17 8.88 20.36 13.25 3.43 2.49 6.76 4.45 3.39 0.68
ONCOLOGY BEDS Maximum # of beds/day 768 153 109 151 61 59 75 47 31 36 4
# of 24 bed oncology wards 32 7 5 7 3 3 4 2 2 2 1
ONCOLOGISTS Hematologist Oncologists 7 0 0 0 0 7 0 0 0 0 0
Surgical Oncologists 45 10 8 13 3 0 5 3 2 3 1
Radiation/Clinical Oncologists 210 33 33 30 22 16 15 14 14 5 5
Urologic Oncologists 13 13 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 13 0 13 0 0 0 0 0 0 0 0
Neuro-Oncologists 2 0 0 0 0 0 0 0 0 2 0
Pathologists 84 13 13 12 9 7 6 6 6 2 2
PHARMACY Onco-Pharmacists 128 28 20 28 12 12 16 8 8 8 4
Onco-Pharmacy Technicians 192 42 30 42 18 18 24 12 12 12 6
PALLIATIVE CARE Palliative Care Specialists 84 13 13 12 9 7 6 6 6 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 287 33 32 72 47 13 9 24 16 12 3
Medical Physicists 96 11 11 24 16 5 3 8 6 4 1
Linac Engineers 24 3 3 6 4 2 1 2 2 1 1
Radiation Oncology Nurses 96 11 11 24 16 5 3 8 6 4 1
Linacs / Co 60 Megavolt Units 48 6 6 12 8 3 2 4 3 2 1
# of Brachytherapy units 24 3 3 6 4 2 1 2 2 1 1
# CT simulators 24 3 3 6 4 2 1 2 2 1 1
# of treatment planning computers 24 3 3 6 4 2 1 2 2 1 1
# of dosimetry/QA package 24 3 3 6 4 2 1 2 2 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 480 105 75 105 45 45 60 30 30 30 15

RESOURCES NEEDED IN CITY AND METRO AREA BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2011

Caracas (metro) Caracas
Population 2904376 1942652
New Cancer Cases 4067 2720
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 2064 1380
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 39.06 26.12
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 2933 1962
ALOS for chemo 3.44 3.44
# of chemo beds/day 27.62 18.47
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 2317 1550
# of admitted patients 579 387
ALOS 5 5
# of RT beds/day 7.93 5.30
ONCOLOGY BEDS Maximum # of beds/day 75 50
# of 24 bed oncology wards 4 3
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 5 3
Radiation/Clinical Oncologists 21 14
Urologic Oncologists 2 1
Gynecologic Oncologist 2 1
Neuro-Oncologists 1 1
Pathologists 9 6
PHARMACY Onco-Pharmacists 16 12
Onco-Pharmacy Technicians 24 18
PALLIATIVE CARE Palliative Care Specialists 9 6
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 28 19
Medical Physicists 10 7
Linac Engineers 3 2
Radiation Oncology Nurses 10 7
Linacs / Co 60 Megavolt Units 5 4
# of Brachytherapy units 3 2
# CT simulators 3 2
# of treatment planning computers 3 2
# of dosimetry/QA package 3 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 60 45

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