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Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN HUNGARY

Cancer All cancers
excl. non-melanoma
skin cancer
Lung Colorectal Urological Breast Head and Neck Gynecological Hematological Stomach Pancreas Melanoma of skin
New Cancer Cases 50475 9288 8442 7976 5094 4368 2965 2509 1951 1856 1117
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 25 70 73.75 100 44 56.67 0 33 10 100
Number (#) of patients needing surgery 25864 2322 5909 5882 5094 1922 1680 0 644 186 1117
Average length of stay (ALOS) for surgery 6.31 10 9 8 5 6.8 6.33 0 5 10 3
# of surgery beds/day 447.06 63.57 145.61 128.84 69.73 35.78 29.13 0.00 8.81 5.08 9.17
CHEMOTHERAPY % of patients requiring chemo 70.12 50 90 62.5 100 66 66.67 100 66 50 50
# of patients requiring chemo 35391.56 4644 7598 4985 5094 2883 1977 2509 1288 928 559
ALOS for chemo 3.64 3 3 3.5 3 3.4 3 6.5 3 5 3
# of chemo beds/day 352.70 38.14 62.40 47.77 41.84 26.84 16.24 44.65 10.58 12.70 4.59
RADIOTHERAPY % of patients requiring RT 54.98 90 25 41.25 100 71 40 32.5 50 50 50
# of patients 27748.63 8359 2111 3290 5094 3101 1186 815 976 928 559
# of admitted patients 6937.16 2090 528 823 1274 775 297 204 244 232 140
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 94.96 28.61 7.22 11.26 17.43 10.61 4.06 2.79 3.34 3.18 1.91
ONCOLOGY BEDS Maximum # of beds/day 895 131 216 188 130 74 50 48 23 21 16
# of 24 bed oncology wards 38 6 9 8 6 4 3 2 1 1 1
ONCOLOGISTS Hematologist Oncologists 6 0 0 0 0 0 0 6 0 0 0
Surgical Oncologists 54 5 13 13 11 5 4 0 2 1 3
Radiation/Clinical Oncologists 253 47 43 40 26 22 15 13 10 10 6
Urologic Oncologists 16 0 0 16 0 0 0 0 0 0 0
Gynecologic Oncologist 6 0 0 0 0 0 6 0 0 0 0
Pathologists 101 19 17 16 11 9 6 6 4 4 3
PHARMACY Onco-Pharmacists 152 24 36 32 24 16 12 8 4 4 4
Onco-Pharmacy Technicians 228 36 54 48 36 24 18 12 6 6 6
PALLIATIVE CARE Palliative Care Specialists 101 19 17 16 11 9 6 6 4 4 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 333 101 26 40 62 38 15 10 12 12 7
Medical Physicists 111 34 9 14 21 13 5 4 4 4 3
Linac Engineers 28 9 3 4 6 4 2 1 1 1 1
Radiation Oncology Nurses 111 34 9 14 21 13 5 4 4 4 3
Linacs / Co 60 Megavolt Units 56 17 5 7 11 7 3 2 2 2 2
# of Brachytherapy units 28 9 3 4 6 4 2 1 1 1 1
# CT simulators 28 9 3 4 6 4 2 1 1 1 1
# of treatment planning computers 28 9 3 4 6 4 2 1 1 1 1
# of dosimetry/QA package 28 9 3 4 6 4 2 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 570 90 135 120 90 60 45 30 15 15 15

RESOURCES NEEDED IN CITIES BASED ON GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2013

Budapest Debrecen
Population 1735711 204333
New Cancer Cases 8806 1037
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 4512 531
Average length of stay (ALOS) for surgery 6.31 6.31
# of surgery beds/day 78.00 9.18
CHEMOTHERAPY % of patients requiring chemo 70.12 70.12
# of patients requiring chemo 6175 727
ALOS for chemo 3.64 3.64
# of chemo beds/day 61.53 7.25
RADIOTHERAPY % of patients requiring RT 54.98 54.98
# of patients 4841 570
# of admitted patients 1210 143
ALOS 5 5
# of RT beds/day 16.57 1.95
ONCOLOGY BEDS Maximum # of beds/day 157 19
# of 24 bed oncology wards 7 1
ONCOLOGISTS Hematologist Oncologists 2 1
Surgical Oncologists 10 2
Radiation/Clinical Oncologists 45 6
Urologic Oncologists 3 1
Gynecologic Oncologist 2 1
Pathologists 18 3
PHARMACY Onco-Pharmacists 28 4
Onco-Pharmacy Technicians 42 6
PALLIATIVE CARE Palliative Care Specialists 18 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 59 7
Medical Physicists 20 3
Linac Engineers 5 1
Radiation Oncology Nurses 20 3
Linacs / Co 60 Megavolt Units 10 2
# of Brachytherapy units 5 1
# CT simulators 5 1
# of treatment planning computers 5 1
# of dosimetry/QA package 5 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 105 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