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Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN CAMBODIA

Cancer All cancers
excl. non-melanoma
skin cancer
Liver Gynecological Head and Neck Hematological Breast Lung Colorectal Urological Stomach Brain, nervous system
New Cancer Cases 15216 2264 1973 1439 1388 1255 1211 839 560 507 359
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 50.74 5 56.67 44 0 100 25 70 73.75 33 100
Number (#) of patients needing surgery 7721 113 1118 633 0 1255 303 587 413 167 359
Average length of stay (ALOS) for surgery 6.91 10 6.33 6.8 0 5 10 9 8 5 9
# of surgery beds/day 146.14 3.10 19.39 11.79 0.00 17.18 8.29 14.47 9.05 2.29 8.85
CHEMOTHERAPY % of patients requiring chemo 72.12 20 66.67 66 100 100 50 90 62.5 66 100
# of patients requiring chemo 10973.32 453 1315 950 1388 1255 606 755 350 335 359
ALOS for chemo 3.44 3 3 3.4 6.5 3 3 3 3.5 3 3
# of chemo beds/day 103.35 3.72 10.80 8.84 24.70 10.31 4.97 6.20 3.35 2.75 2.95
RADIOTHERAPY % of patients requiring RT 56.98 20 40 71 32.5 100 90 25 41.25 50 100
# of patients 8669.32 453 789 1022 451 1255 1090 210 231 254 359
# of admitted patients 2167.33 113 197 255 113 314 272 52 58 63 90
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 29.67 1.55 2.70 3.50 1.54 4.30 3.73 0.72 0.79 0.87 1.23
ONCOLOGY BEDS Maximum # of beds/day 280 9 33 25 27 32 17 22 14 6 14
# of 24 bed oncology wards 12 1 2 2 2 2 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 3 0 0 0 3 0 0 0 0 0 0
Surgical Oncologists 17 1 3 2 0 3 1 2 1 1 1
Radiation/Clinical Oncologists 77 12 10 8 7 7 7 5 3 3 2
Urologic Oncologists 2 0 0 0 0 0 0 0 2 0 0
Gynecologic Oncologist 4 0 4 0 0 0 0 0 0 0 0
Neuro-Oncologists 1 0 0 0 0 0 0 0 0 0 1
Pathologists 31 5 4 3 3 3 3 2 2 2 1
PHARMACY Onco-Pharmacists 48 4 8 8 8 8 4 4 4 4 4
Onco-Pharmacy Technicians 72 6 12 12 12 12 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 31 5 4 3 3 3 3 2 2 2 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 105 6 10 13 6 16 14 3 3 4 5
Medical Physicists 35 2 4 5 2 6 5 1 1 2 2
Linac Engineers 9 1 1 2 1 2 2 1 1 1 1
Radiation Oncology Nurses 35 2 4 5 2 6 5 1 1 2 2
Linacs / Co 60 Megavolt Units 18 1 2 3 1 3 3 1 1 1 1
# of Brachytherapy units 9 1 1 2 1 2 2 1 1 1 1
# CT simulators 9 1 1 2 1 2 2 1 1 1 1
# of treatment planning computers 9 1 1 2 1 2 2 1 1 1 1
# of dosimetry/QA package 9 1 1 2 1 2 2 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 180 15 30 30 30 30 15 15 15 15 15

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2008

Phnum Pénh Siem Réab
Population 1242992 168662
New Cancer Cases 1307 178
SURGERY % of patients needing surgery 50.74 50.74
Number (#) of patients needing surgery 663 90
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 12.55 1.71
CHEMOTHERAPY % of patients requiring chemo 72.12 72.12
# of patients requiring chemo 943 128
ALOS for chemo 3.44 3.44
# of chemo beds/day 8.88 1.21
RADIOTHERAPY % of patients requiring RT 56.98 56.98
# of patients 745 101
# of admitted patients 186 25
ALOS 5 5
# of RT beds/day 2.55 0.35
ONCOLOGY BEDS Maximum # of beds/day 24 4
# of 24 bed oncology wards 1 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 1
Radiation/Clinical Oncologists 7 1
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 3 1
PHARMACY Onco-Pharmacists 4 4
Onco-Pharmacy Technicians 6 6
PALLIATIVE CARE Palliative Care Specialists 3 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 9 2
Medical Physicists 3 1
Linac Engineers 1 1
Radiation Oncology Nurses 3 1
Linacs / Co 60 Megavolt Units 2 1
# 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, 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