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

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN VIETNAM

Cancer All cancers
excl. non-melanoma
skin cancer
Liver Lung Stomach Head and Neck Breast Gynecological Colorectal Hematological Urological Brain, nervous system
New Cancer Cases 125036 21997 21865 14203 12122 11067 9039 8768 7222 3099 2892
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 5 25 33 44 100 56.67 70 0 73.75 100
Number (#) of patients needing surgery 63445 1100 5466 4687 5334 11067 5122 6138 0 2286 2892
Average length of stay (ALOS) for surgery 6.91 10 10 5 6.8 5 6.33 9 0 8 9
# of surgery beds/day 1200.87 30.11 149.66 64.16 99.30 151.50 88.82 151.23 0.00 50.06 71.26
CHEMOTHERAPY % of patients requiring chemo 72.12 20 50 66 66 100 66.67 90 100 62.5 100
# of patients requiring chemo 90172.21 4399 10933 9374 8001 11067 6026 7891 7222 1937 2892
ALOS for chemo 3.44 3 3 3 3.4 3 3 3 6.5 3.5 3
# of chemo beds/day 849.26 36.13 89.79 76.99 74.47 90.90 49.50 64.81 128.52 18.56 23.75
RADIOTHERAPY % of patients requiring RT 56.98 20 90 50 71 100 40 25 32.5 41.25 100
# of patients 71239.26 4399 19679 7102 8607 11067 3616 2192 2347 1278 2892
# of admitted patients 17809.82 1100 4920 1775 2152 2767 904 548 587 320 723
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 243.80 15.06 67.35 24.30 29.45 37.87 12.37 7.50 8.03 4.37 9.90
ONCOLOGY BEDS Maximum # of beds/day 2294 82 307 166 204 281 151 224 137 73 105
# of 24 bed oncology wards 96 4 13 7 9 12 7 10 6 4 5
ONCOLOGISTS Hematologist Oncologists 15 0 0 0 0 0 0 0 15 0 0
Surgical Oncologists 133 3 12 10 12 24 11 13 0 5 7
Radiation/Clinical Oncologists 626 110 110 72 61 56 46 44 37 16 15
Urologic Oncologists 7 0 0 0 0 0 0 0 0 7 0
Gynecologic Oncologist 19 0 0 0 0 0 19 0 0 0 0
Neuro-Oncologists 6 0 0 0 0 0 0 0 0 0 6
Pathologists 251 44 44 29 25 23 19 18 15 7 6
PHARMACY Onco-Pharmacists 384 16 52 28 36 48 28 40 24 16 20
Onco-Pharmacy Technicians 576 24 78 42 54 72 42 60 36 24 30
PALLIATIVE CARE Palliative Care Specialists 251 44 44 29 25 23 19 18 15 7 6
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 855 53 237 86 104 133 44 27 29 16 35
Medical Physicists 285 18 79 29 35 45 15 9 10 6 12
Linac Engineers 72 5 20 8 9 12 4 3 3 2 3
Radiation Oncology Nurses 285 18 79 29 35 45 15 9 10 6 12
Linacs / Co 60 Megavolt Units 143 9 40 15 18 23 8 5 5 3 6
# of Brachytherapy units 72 5 20 8 9 12 4 3 3 2 3
# CT simulators 72 5 20 8 9 12 4 3 3 2 3
# of treatment planning computers 72 5 20 8 9 12 4 3 3 2 3
# of dosimetry/QA package 72 5 20 8 9 12 4 3 3 2 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1440 60 195 105 135 180 105 150 90 60 75

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2012

Ho Chi Minh City Hanoi
Population 6290000 2570000
New Cancer Cases 8765 3582
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 4448 1818
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 84.18 34.40
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 6321 2583
ALOS for chemo 3.44 3.44
# of chemo beds/day 59.53 24.33
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 4994 2041
# of admitted patients 1248 510
ALOS 5 5
# of RT beds/day 17.09 6.98
ONCOLOGY BEDS Maximum # of beds/day 161 66
# of 24 bed oncology wards 7 3
ONCOLOGISTS Hematologist Oncologists 2 1
Surgical Oncologists 10 4
Radiation/Clinical Oncologists 44 18
Urologic Oncologists 1 1
Gynecologic Oncologist 2 1
Neuro-Oncologists 1 1
Pathologists 18 8
PHARMACY Onco-Pharmacists 28 12
Onco-Pharmacy Technicians 42 18
PALLIATIVE CARE Palliative Care Specialists 18 8
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 60 25
Medical Physicists 20 9
Linac Engineers 5 3
Radiation Oncology Nurses 20 9
Linacs / Co 60 Megavolt Units 10 5
# of Brachytherapy units 5 3
# CT simulators 5 3
# of treatment planning computers 5 3
# of dosimetry/QA package 5 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 105 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