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Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN ESTONIA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Colorectal Breast Lung Gynecological
New Cancer Cases 6117 1537 789 658 632 547
Rank 1 2 3 4 5
SURGERY % of patients needing surgery 65.08 73.75 70 100 25 56.67
Number (#) of patients needing surgery 3981 1134 552 658 158 310
Average length of stay (ALOS) for surgery 7.67 8 9 5 10 6.33
# of surgery beds/day 83.57 24.83 13.61 9.01 4.33 5.37
CHEMOTHERAPY % of patients requiring chemo 73.83 62.5 90 100 50 66.67
# of patients requiring chemo 4516.43 961 710 658 316 365
ALOS for chemo 3.10 3.5 3 3 3 3
# of chemo beds/day 38.33 9.21 5.83 5.40 2.60 3.00
RADIOTHERAPY % of patients requiring RT 59.25 41.25 25 100 90 40
# of patients 3624.32 634 197 658 569 219
# of admitted patients 906.08 159 49 165 142 55
ALOS 5.00 5 5 5 5 5
# of RT beds/day 12.40 2.17 0.68 2.25 1.95 0.75
ONCOLOGY BEDS Maximum # of beds/day 135 37 21 17 9 10
# of 24 bed oncology wards 6 2 1 1 1 1
ONCOLOGISTS Surgical Oncologists 9 3 2 2 1 1
Radiation/Clinical Oncologists 31 8 4 4 4 3
Urologic Oncologists 4 4 0 0 0 0
Gynecologic Oncologist 2 0 0 0 0 2
Pathologists 13 4 2 2 2 2
PHARMACY Onco-Pharmacists 24 8 4 4 4 4
Onco-Pharmacy Technicians 36 12 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 13 4 2 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 44 8 3 8 7 3
Medical Physicists 15 3 1 3 3 1
Linac Engineers 4 1 1 1 1 1
Radiation Oncology Nurses 15 3 1 3 3 1
Linacs / Co 60 Megavolt Units 8 2 1 2 2 1
# of Brachytherapy units 4 1 1 1 1 1
# CT simulators 4 1 1 1 1 1
# of treatment planning computers 4 1 1 1 1 1
# of dosimetry/QA package 4 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 90 30 15 15 15 15

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

Tallinn Tartu
Population 411063 98449
New Cancer Cases 1878 450
SURGERY % of patients needing surgery 65.08 65.08
Number (#) of patients needing surgery 1222 293
Average length of stay (ALOS) for surgery 7.67 7.67
# of surgery beds/day 25.66 6.15
CHEMOTHERAPY % of patients requiring chemo 73.83 73.83
# of patients requiring chemo 1387 332
ALOS for chemo 3.10 3.10
# of chemo beds/day 11.77 2.82
RADIOTHERAPY % of patients requiring RT 59.25 59.25
# of patients 1113 267
# of admitted patients 278 67
ALOS 5 5
# of RT beds/day 3.81 0.91
ONCOLOGY BEDS Maximum # of beds/day 42 10
# of 24 bed oncology wards 2 1
ONCOLOGISTS Surgical Oncologists 3 1
Radiation/Clinical Oncologists 10 3
Urologic Oncologists 2 1
Gynecologic Oncologist 1 1
Pathologists 4 1
PHARMACY Onco-Pharmacists 8 4
Onco-Pharmacy Technicians 12 6
PALLIATIVE CARE Palliative Care Specialists 4 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 14 4
Medical Physicists 5 2
Linac Engineers 2 1
Radiation Oncology Nurses 5 2
Linacs / Co 60 Megavolt Units 3 1
# of Brachytherapy units 2 1
# CT simulators 2 1
# of treatment planning computers 2 1
# of dosimetry/QA package 2 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 30 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 5 cancers