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Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN KYRGYZSTAN

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Lung Stomach Gynecological Head and Neck
New Cancer Cases 5803 662 596 847 997 399
Rank 3 4 2 1 5
SURGERY % of patients needing surgery 51.73 100 25 33 56.67 44
Number (#) of patients needing surgery 3002 662 149 280 565 176
Average length of stay (ALOS) for surgery 6.63 5 10 5 6.33 6.8
# of surgery beds/day 54.47 9.06 4.08 3.83 9.80 3.27
CHEMOTHERAPY % of patients requiring chemo 69.73 100 50 66 66.67 66
# of patients requiring chemo 4046.66 662 298 559 665 263
ALOS for chemo 3.08 3 3 3 3 3.4
# of chemo beds/day 34.12 5.44 2.45 4.59 5.46 2.45
RADIOTHERAPY % of patients requiring RT 70.20 100 90 50 40 71
# of patients 4073.71 662 536 424 399 283
# of admitted patients 1018.43 166 134 106 100 71
ALOS 5.00 5 5 5 5 5
# of RT beds/day 13.94 2.27 1.84 1.45 1.36 0.97
ONCOLOGY BEDS Maximum # of beds/day 103 17 9 10 17 7
# of 24 bed oncology wards 5 1 1 1 1 1
ONCOLOGISTS Surgical Oncologists 7 2 1 1 2 1
Radiation/Clinical Oncologists 30 4 3 5 5 2
Gynecologic Oncologist 2 0 0 0 2 0
Pathologists 12 2 2 2 2 1
PHARMACY Onco-Pharmacists 20 4 4 4 4 4
Onco-Pharmacy Technicians 30 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 12 2 2 2 2 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 49 8 7 6 5 4
Medical Physicists 17 3 3 2 2 2
Linac Engineers 5 1 1 1 1 1
Radiation Oncology Nurses 17 3 3 2 2 2
Linacs / Co 60 Megavolt Units 9 2 2 1 1 1
# of Brachytherapy units 5 1 1 1 1 1
# CT simulators 5 1 1 1 1 1
# of treatment planning computers 5 1 1 1 1 1
# of dosimetry/QA package 5 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 75 15 15 15 15 15

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

Osh Jalal-Abad
Population 1199900 1099200
New Cancer Cases 1279 1171
SURGERY % of patients needing surgery 51.73 51.73
Number (#) of patients needing surgery 662 606
Average length of stay (ALOS) for surgery 6.63 6.63
# of surgery beds/day 12.00 10.99
CHEMOTHERAPY % of patients requiring chemo 69.73 69.73
# of patients requiring chemo 892 817
ALOS for chemo 3.08 3.08
# of chemo beds/day 7.52 6.89
RADIOTHERAPY % of patients requiring RT 70.20 70.20
# of patients 898 822
# of admitted patients 224 206
ALOS 5 5
# of RT beds/day 3.07 2.81
ONCOLOGY BEDS Maximum # of beds/day 23 21
# of 24 bed oncology wards 1 1
ONCOLOGISTS Surgical Oncologists 2 2
Radiation/Clinical Oncologists 7 6
Gynecologic Oncologist 1 1
Pathologists 3 3
PHARMACY Onco-Pharmacists 4 4
Onco-Pharmacy Technicians 6 6
PALLIATIVE CARE Palliative Care Specialists 3 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 11 10
Medical Physicists 4 4
Linac Engineers 1 1
Radiation Oncology Nurses 4 4
Linacs / Co 60 Megavolt Units 2 2
# 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 5 cancers