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Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN CROATIA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Colorectal Lung Breast Head and Neck Hematological Gynecological Stomach Pancreas Melanoma of skin
New Cancer Cases 22890 4089 3209 3056 2641 1642 1389 1351 966 677 674
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 73.75 70 25 100 44 0 56.67 33 10 100
Number (#) of patients needing surgery 11729 3016 2246 764 2641 722 0 766 319 68 674
Average length of stay (ALOS) for surgery 6.31 8 9 10 5 6.8 0 6.33 5 10 3
# of surgery beds/day 202.74 66.05 55.35 20.92 36.15 13.45 0.00 13.27 4.36 1.85 5.54
CHEMOTHERAPY % of patients requiring chemo 70.12 62.5 90 50 100 66 100 66.67 66 50 50
# of patients requiring chemo 16049.78 2556 2888 1528 2641 1084 1389 901 638 339 337
ALOS for chemo 3.64 3.5 3 3 3 3.4 6.5 3 3 5 3
# of chemo beds/day 159.95 24.49 23.72 12.55 21.69 10.09 24.72 7.40 5.24 4.63 2.77
RADIOTHERAPY % of patients requiring RT 54.98 41.25 25 90 100 71 32.5 40 50 50 50
# of patients 12583.78 1687 802 2750 2641 1166 451 540 483 339 337
# of admitted patients 3145.94 422 201 688 660 291 113 135 121 85 84
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 43.07 5.77 2.75 9.41 9.04 3.99 1.54 1.85 1.65 1.16 1.15
ONCOLOGY BEDS Maximum # of beds/day 406 97 82 43 67 28 27 23 12 8 10
# of 24 bed oncology wards 17 5 4 2 3 2 2 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 3 0 0 0 0 0 3 0 0 0 0
Surgical Oncologists 25 7 5 2 6 2 0 2 1 1 2
Radiation/Clinical Oncologists 115 21 17 16 14 9 7 7 5 4 4
Urologic Oncologists 9 9 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 3 0 0 0 0 0 0 3 0 0 0
Pathologists 46 9 7 7 6 4 3 3 2 2 2
PHARMACY Onco-Pharmacists 68 20 16 8 12 8 8 4 4 4 4
Onco-Pharmacy Technicians 102 30 24 12 18 12 12 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 46 9 7 7 6 4 3 3 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 152 21 10 34 32 14 6 7 6 5 5
Medical Physicists 51 7 4 12 11 5 2 3 2 2 2
Linac Engineers 13 2 1 3 3 2 1 1 1 1 1
Radiation Oncology Nurses 51 7 4 12 11 5 2 3 2 2 2
Linacs / Co 60 Megavolt Units 26 4 2 6 6 3 1 2 1 1 1
# of Brachytherapy units 13 2 1 3 3 2 1 1 1 1 1
# CT simulators 13 2 1 3 3 2 1 1 1 1 1
# of treatment planning computers 13 2 1 3 3 2 1 1 1 1 1
# of dosimetry/QA package 13 2 1 3 3 2 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 255 75 60 30 45 30 30 15 15 15 15

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

Grad Zagreb Split — Dalmatia
Population 793057 454777
New Cancer Cases 4138 2373
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 2120 1216
Average length of stay (ALOS) for surgery 6.31 6.31
# of surgery beds/day 36.65 21.02
CHEMOTHERAPY % of patients requiring chemo 70.12 70.12
# of patients requiring chemo 2901 1664
ALOS for chemo 3.64 3.64
# of chemo beds/day 28.92 16.58
RADIOTHERAPY % of patients requiring RT 54.98 54.98
# of patients 2275 1305
# of admitted patients 569 326
ALOS 5 5
# of RT beds/day 7.79 4.46
ONCOLOGY BEDS Maximum # of beds/day 74 43
# of 24 bed oncology wards 4 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 5 3
Radiation/Clinical Oncologists 21 12
Urologic Oncologists 2 1
Gynecologic Oncologist 1 1
Pathologists 9 5
PHARMACY Onco-Pharmacists 16 8
Onco-Pharmacy Technicians 24 12
PALLIATIVE CARE Palliative Care Specialists 9 5
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 28 16
Medical Physicists 10 6
Linac Engineers 3 2
Radiation Oncology Nurses 10 6
Linacs / Co 60 Megavolt Units 5 3
# 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 30

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