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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN VENEZUELA

Cancer All except melanoma Urological Gynecological Breast Lung Hematological Malignancy Colorectal Stomach Head & Neck Liver Pancreas
New Cancer Cases 36961 6995 5555 5404 3289 3026 2454 2449 2218 876 778
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 41.74 73.75 56.67 100.00 25 0 70 33 44 5 10
Number (#) of patients needing surgery 15428 5159 3148 5404 822 0 1718 808 976 44 78
Average length of stay (ALOS) for surgery 7.01 8 6.33 5 10 0 9 5 6.8 10 10
# of surgery beds/day 296.24 112.99 54.58 73.98 22.51 0.00 42.33 11.06 18.17 1.20 2.13
CHEMOTHERAPY % of patients requiring chemo 67.12 62.5 66.67 100 50 100 90 66 66 20 50
# of patients requiring chemo 24807.11 4372 3704 5404 1645 3026 2209 1616 1464 175 389
ALOS for chemo 3.64 3.5 3 3 3 6.5 3 3 3.4 3 5
# of chemo beds/day 247.22 41.89 30.42 44.39 13.51 53.85 18.14 13.28 13.63 1.44 5.33
RADIOTHERAPY % of patients requiring RT 51.98 41.25 40 100 90 32.5 25 50 71 20 50
# of patients 19210.48 2885 2222 5404 2960 983 614 1225 1575 175 389
# of admitted patients 4802.62 721 556 1351 740 246 153 306 394 44 97
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 65.74 9.87 7.60 18.49 10.13 3.37 2.10 4.19 5.39 0.60 1.33
ONCOLOGY BEDS Maximum # of beds/day 610 165 93 137 47 58 63 29 38 4 9
# of 24 bed oncology wards 26 7 4 6 2 3 3 2 2 1 1
ONCOLOGISTS Hematologist Oncologists 7 0 0 0 0 7 0 0 0 0 0
Surgical Oncologists 33 11 7 12 2 0 4 2 3 1 1
Radiation/Clinical Oncologists 185 35 28 28 17 16 13 13 12 5 4
Urologic Oncologists 14 14 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 12 0 12 0 0 0 0 0 0 0 0
Pathologists 74 14 12 11 7 7 5 5 5 2 2
PHARMACY Onco-Pharmacists 104 28 16 24 8 12 12 8 8 4 4
Onco-Pharmacy Technicians 156 42 24 36 12 18 18 12 12 6 6
PALLIATIVE CARE Palliative Care Specialists 74 14 12 11 7 7 5 5 5 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 231 35 27 65 36 12 8 15 19 3 5
Medical Physicists 77 12 9 22 12 4 3 5 7 1 2
Linac Engineers 20 3 3 6 3 1 1 2 2 1 1
Radiation Oncology Nurses 77 12 9 22 12 4 3 5 7 1 2
Linacs / Co 60 Megavolt Units 39 6 5 11 6 2 2 3 4 1 1
# of Brachytherapy units 20 3 3 6 3 1 1 2 2 1 1
# CT simulators 20 3 3 6 3 1 1 2 2 1 1
# of treatment planning computers 20 3 3 6 3 1 1 2 2 1 1
# of dosimetry/QA package 20 3 3 6 3 1 1 2 2 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 390 105 60 90 30 45 45 30 30 15 15

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

Caracas metro area
Population 2904376
New Cancer Cases 3818
SURGERY % of patients needing surgery 41.74
Number (#) of patients needing surgery 1594
Average length of stay (ALOS) for surgery 7.01
# of surgery beds/day 30.60
CHEMOTHERAPY % of patients requiring chemo 67.12
# of patients requiring chemo 2563
ALOS for chemo 3.64
# of chemo beds/day 25.54
RADIOTHERAPY % of patients requiring RT 51.98
# of patients 1984
# of admitted patients 496
ALOS 5
# of RT beds/day 6.79
ONCOLOGY BEDS Maximum # of beds/day 63
# of 24 bed oncology wards 3
ONCOLOGISTS Hematologist Oncologists 1
Surgical Oncologists 4
Radiation/Clinical Oncologists 20
Urologic Oncologists 2
Gynecologic Oncologist 2
Pathologists 8
PHARMACY Onco-Pharmacists 12
Onco-Pharmacy Technicians 18
PALLIATIVE CARE Palliative Care Specialists 8
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 24
Medical Physicists 8
Linac Engineers 2
Radiation Oncology Nurses 8
Linacs / Co 60 Megavolt Units 4
# of Brachytherapy units 2
# CT simulators 2
# of treatment planning computers 2
# of dosimetry/QA package 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 45

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