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Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN CZECH REPUBLIC

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Colorectal Breast Lung Gynecological Head and Neck Hematological Melanoma of skin Pancreas Stomach
New Cancer Cases 57627 13119 8336 6854 6683 4000 3134 2969 2194 2118 1595
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 73.75 70 100 25 56.67 44 0 100 10 33
Number (#) of patients needing surgery 29529 9675 5835 6854 1671 2267 1379 0 2194 212 526
Average length of stay (ALOS) for surgery 6.31 8 9 5 10 6.33 6.8 0 3 10 5
# of surgery beds/day 510.41 211.92 143.78 93.83 45.74 39.30 25.67 0.00 18.02 5.80 7.21
CHEMOTHERAPY % of patients requiring chemo 70.12 62.5 90 100 50 66.67 66 100 50 50 66
# of patients requiring chemo 40406.32 8199 7502 6854 3342 2667 2068 2969 1097 1059 1053
ALOS for chemo 3.64 3.5 3 3 3 3 3.4 6.5 3 5 3
# of chemo beds/day 402.68 78.57 61.62 56.30 27.45 21.90 19.25 52.84 9.01 14.50 8.65
RADIOTHERAPY % of patients requiring RT 54.98 41.25 25 100 90 40 71 32.5 50 50 50
# of patients 31680.44 5412 2084 6854 6015 1600 2225 965 1097 1059 798
# of admitted patients 7920.11 1353 521 1714 1504 400 556 241 274 265 199
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 108.42 18.52 7.13 23.46 20.58 5.48 7.62 3.30 3.75 3.62 2.73
ONCOLOGY BEDS Maximum # of beds/day 1022 310 213 174 94 67 53 57 31 24 19
# of 24 bed oncology wards 43 13 9 8 4 3 3 3 2 1 1
ONCOLOGISTS Hematologist Oncologists 6 0 0 0 0 0 0 6 0 0 0
Surgical Oncologists 62 21 13 15 4 5 3 0 5 1 2
Radiation/Clinical Oncologists 289 66 42 35 34 20 16 15 11 11 8
Urologic Oncologists 27 27 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 8 0 0 0 0 8 0 0 0 0 0
Pathologists 116 27 17 14 14 8 7 6 5 5 4
PHARMACY Onco-Pharmacists 172 52 36 32 16 12 12 12 8 4 4
Onco-Pharmacy Technicians 258 78 54 48 24 18 18 18 12 6 6
PALLIATIVE CARE Palliative Care Specialists 116 27 17 14 14 8 7 6 5 5 4
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 381 65 26 83 73 20 27 12 14 13 10
Medical Physicists 127 22 9 28 25 7 9 4 5 5 4
Linac Engineers 32 6 3 7 7 2 3 1 2 2 1
Radiation Oncology Nurses 127 22 9 28 25 7 9 4 5 5 4
Linacs / Co 60 Megavolt Units 64 11 5 14 13 4 5 2 3 3 2
# of Brachytherapy units 32 6 3 7 7 2 3 1 2 2 1
# CT simulators 32 6 3 7 7 2 3 1 2 2 1
# of treatment planning computers 32 6 3 7 7 2 3 1 2 2 1
# of dosimetry/QA package 32 6 3 7 7 2 3 1 2 2 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 645 195 135 120 60 45 45 45 30 15 15

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2014

Praha Brno
Population 1243201 377508
New Cancer Cases 6782 2060
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 3475 1056
Average length of stay (ALOS) for surgery 6.31 6.31
# of surgery beds/day 60.07 18.25
CHEMOTHERAPY % of patients requiring chemo 70.12 70.12
# of patients requiring chemo 4755 1444
ALOS for chemo 3.64 3.64
# of chemo beds/day 47.39 14.39
RADIOTHERAPY % of patients requiring RT 54.98 54.98
# of patients 3728 1132
# of admitted patients 932 283
ALOS 5 5
# of RT beds/day 12.76 3.88
ONCOLOGY BEDS Maximum # of beds/day 121 37
# of 24 bed oncology wards 6 2
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 8 3
Radiation/Clinical Oncologists 34 11
Urologic Oncologists 4 1
Gynecologic Oncologist 1 1
Pathologists 14 5
PHARMACY Onco-Pharmacists 24 8
Onco-Pharmacy Technicians 36 12
PALLIATIVE CARE Palliative Care Specialists 14 5
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 45 14
Medical Physicists 15 5
Linac Engineers 4 2
Radiation Oncology Nurses 15 5
Linacs / Co 60 Megavolt Units 8 3
# of Brachytherapy units 4 2
# CT simulators 4 2
# of treatment planning computers 4 2
# of dosimetry/QA package 4 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 90 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