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Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN MOROCCO

Cancer All cancers
excl. non-melanoma
skin cancer
Breast Urological Lung Hematological Gynecological Head and Neck Colorectal Stomach Brain, nervous system Pancreas
New Cancer Cases 35018 6650 4519 3928 3746 3458 3453 2484 1176 897 551
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 100 73.75 25 0 56.67 44 70 33 100 10
Number (#) of patients needing surgery 17944 6650 3333 982 0 1960 1519 1739 388 897 55
Average length of stay (ALOS) for surgery 6.91 5 8 10 0 6.33 6.8 9 5 9 10
# of surgery beds/day 339.63 91.03 73.00 26.89 0.00 33.98 28.29 42.85 5.31 22.10 1.51
CHEMOTHERAPY % of patients requiring chemo 75.12 100 62.5 50 100 66.67 66 90 66 100 50
# of patients requiring chemo 26304.47 6650 2824 1964 3746 2305 2279 2236 776 897 276
ALOS for chemo 3.64 3 3.5 3 6.5 3 3.4 3 3 3 5
# of chemo beds/day 262.14 54.62 27.06 16.13 66.66 18.94 21.21 18.36 6.38 7.37 3.77
RADIOTHERAPY % of patients requiring RT 59.98 100 41.25 90 32.5 40 71 25 50 100 50
# of patients 21002.05 6650 1864 3535 1217 1383 2452 621 588 897 276
# of admitted patients 5250.51 1663 466 884 304 346 613 155 147 224 69
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 71.88 22.76 6.38 12.10 4.17 4.73 8.39 2.13 2.01 3.07 0.94
ONCOLOGY BEDS Maximum # of beds/day 674 169 107 56 71 58 58 64 14 33 7
# of 24 bed oncology wards 29 8 5 3 3 3 3 3 1 2 1
ONCOLOGISTS Hematologist Oncologists 8 0 0 0 8 0 0 0 0 0 0
Surgical Oncologists 38 14 7 3 0 5 4 4 1 2 1
Radiation/Clinical Oncologists 176 34 23 20 19 18 18 13 6 5 3
Urologic Oncologists 10 0 10 0 0 0 0 0 0 0 0
Gynecologic Oncologist 7 0 0 0 0 7 0 0 0 0 0
Neuro-Oncologists 2 0 0 0 0 0 0 0 0 2 0
Pathologists 71 14 10 8 8 7 7 5 3 2 2
PHARMACY Onco-Pharmacists 116 32 20 12 12 12 12 12 4 8 4
Onco-Pharmacy Technicians 174 48 30 18 18 18 18 18 6 12 6
PALLIATIVE CARE Palliative Care Specialists 71 14 10 8 8 7 7 5 3 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 253 80 23 43 15 17 30 8 8 11 4
Medical Physicists 85 27 8 15 5 6 10 3 3 4 2
Linac Engineers 22 7 2 4 2 2 3 1 1 1 1
Radiation Oncology Nurses 85 27 8 15 5 6 10 3 3 4 2
Linacs / Co 60 Megavolt Units 43 14 4 8 3 3 5 2 2 2 1
# of Brachytherapy units 22 7 2 4 2 2 3 1 1 1 1
# CT simulators 22 7 2 4 2 2 3 1 1 1 1
# of treatment planning computers 22 7 2 4 2 2 3 1 1 1 1
# of dosimetry/QA package 22 7 2 4 2 2 3 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 435 120 75 45 45 45 45 45 15 30 15

RESOURCES NEEDED IN REGIONS BASED on GLOBOCAN2012 AND DATA FROM CITYPOPULATION.DE2010

Greater Casablanca Souss - Massa - Drâa
Population 3823000 3381000
New Cancer Cases 4107 3632
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 2104 1861
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 39.83 35.23
CHEMOTHERAPY % of patients requiring chemo 75.12 75.12
# of patients requiring chemo 3085 2728
ALOS for chemo 3.64 3.64
# of chemo beds/day 30.74 27.19
RADIOTHERAPY % of patients requiring RT 59.98 59.98
# of patients 2463 2178
# of admitted patients 616 545
ALOS 5 5
# of RT beds/day 8.43 7.45
ONCOLOGY BEDS Maximum # of beds/day 80 70
# of 24 bed oncology wards 4 3
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 5 4
Radiation/Clinical Oncologists 21 19
Urologic Oncologists 2 2
Gynecologic Oncologist 1 1
Neuro-Oncologists 1 1
Pathologists 9 8
PHARMACY Onco-Pharmacists 16 12
Onco-Pharmacy Technicians 24 18
PALLIATIVE CARE Palliative Care Specialists 9 8
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 30 27
Medical Physicists 10 9
Linac Engineers 3 3
Radiation Oncology Nurses 10 9
Linacs / Co 60 Megavolt Units 5 5
# of Brachytherapy units 3 3
# CT simulators 3 3
# of treatment planning computers 3 3
# of dosimetry/QA package 3 3
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 60 45

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