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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN VIET NAM

Cancer All cancers
excl. non-melanoma
skin cancer
Liver Lung Stomach Gynecological Colorectal Head & Neck Breast Hematological Malignancies Brain, nervous system Urological
New Cancer Cases 111581 23251 20659 15068 9073 7367 6968 6830 6347 3220 3162
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 5 25 33 56.67 70 44 100.00 0 100 73.75
Number (#) of patients needing surgery 56618 1163 5165 4972 5141 5157 3066 6830 0 3220 2332
Average length of stay (ALOS) for surgery 6.91 10 10 5 6.33 9 6.8 5 0 9 8
# of surgery beds/day 1071.65 31.83 141.40 68.07 89.15 127.07 57.08 93.50 0.00 79.34 51.08
CHEMOTHERAPY % of patients requiring chemo 72.12 20 50 66 66.67 90 66 100 100 100 62.5
# of patients requiring chemo 80468.87 4650 10330 9945 6049 6630 4599 6830 6347 3220 1976
ALOS for chemo 3.44 3 3 3 3 3 3.4 3 6.5 3 3.5
# of chemo beds/day 757.87 38.19 84.84 81.68 49.68 54.46 42.81 56.10 112.95 26.45 18.94
RADIOTHERAPY % of patients requiring RT 56.98 20 90 50 40 25 71 100 32.5 100 41.25
# of patients 63573.27 4650 18593 7534 3629 1842 4947 6830 2063 3220 1304
# of admitted patients 15893.32 1163 4648 1884 907 460 1237 1708 516 805 326
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 217.57 15.91 63.63 25.78 12.42 6.30 16.93 23.37 7.06 11.02 4.46
ONCOLOGY BEDS Maximum # of beds/day 2048 86 290 176 152 188 117 173 121 117 75
# of 24 bed oncology wards 86 4 13 8 7 8 5 8 6 5 4
ONCOLOGISTS Hematologist Oncologists 13 0 0 0 0 0 0 0 13 0 0
Surgical Oncologists 118 3 11 11 11 11 7 15 0 7 5
Radiation/Clinical Oncologists 558 117 104 76 46 37 35 35 32 17 16
Urologic Oncologists 7 0 0 0 0 0 0 0 0 0 7
Gynecologic Oncologist 19 0 0 0 19 0 0 0 0 0 0
Neuro-Oncologists 7 0 0 0 0 0 0 0 0 7 0
Pathologists 224 47 42 31 19 15 14 14 13 7 7
PHARMACY Onco-Pharmacists 344 16 52 32 28 32 20 32 24 20 16
Onco-Pharmacy Technicians 516 24 78 48 42 48 30 48 36 30 24
PALLIATIVE CARE Palliative Care Specialists 224 47 42 31 19 15 14 14 13 7 7
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 763 56 224 91 44 23 60 82 25 39 16
Medical Physicists 255 19 75 31 15 8 20 28 9 13 6
Linac Engineers 64 5 19 8 4 2 5 7 3 4 2
Radiation Oncology Nurses 255 19 75 31 15 8 20 28 9 13 6
Linacs / Co 60 Megavolt Units 128 10 38 16 8 4 10 14 5 7 3
# of Brachytherapy units 64 5 19 8 4 2 5 7 3 4 2
# CT simulators 64 5 19 8 4 2 5 7 3 4 2
# of treatment planning computers 64 5 19 8 4 2 5 7 3 4 2
# of dosimetry/QA package 64 5 19 8 4 2 5 7 3 4 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1290 60 195 120 105 120 75 120 90 75 60

CANCER INCIDENCE IN CITIES BASED on GLOBOCAN 2008 AND DATA FROM CITYPOPULATION.DE 2009

Thành Phố Hồ Chí Minh Hà Nội
Population 5880615 2316772
New Cancer Cases 7534 2969
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 3823 1507
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 72.36 28.51
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 5433 2141
ALOS for chemo 3.44 3.44
# of chemo beds/day 51.17 20.17
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 4292 1692
# of admitted patients 1073 423
ALOS 5 5
# of RT beds/day 14.69 5.79
ONCOLOGY BEDS Maximum # of beds/day 139 55
# of 24 bed oncology wards 6 3
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 8 4
Radiation/Clinical Oncologists 38 15
Urologic Oncologists 1 1
Gynecologic Oncologist 2 1
Neuro-Oncologists 1 1
Pathologists 16 6
PHARMACY Onco-Pharmacists 24 12
Onco-Pharmacy Technicians 36 18
PALLIATIVE CARE Palliative Care Specialists 16 6
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 52 21
Medical Physicists 18 7
Linac Engineers 5 2
Radiation Oncology Nurses 18 7
Linacs / Co 60 Megavolt Units 9 4
# of Brachytherapy units 5 2
# CT simulators 5 2
# of treatment planning computers 5 2
# of dosimetry/QA package 5 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 90 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