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Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN POLAND

Cancer All cancers
excl. non-melanoma
skin cancer
Lung Urological Colorectal Breast Gynecological Head and Neck Hematological Stomach Pancreas Brain, nervous system
New Cancer Cases 152216 26230 25173 19438 17259 13881 9436 8107 6105 5004 4467
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 25 73.75 70 100 56.67 44 0 33 10 100
Number (#) of patients needing surgery 77998 6558 18565 13607 17259 7866 4152 0 2015 500 4467
Average length of stay (ALOS) for surgery 6.91 10 8 9 5 6.33 6.8 0 5 10 9
# of surgery beds/day 1476.32 179.53 406.63 335.28 236.26 136.39 77.30 0.00 27.58 13.70 110.07
CHEMOTHERAPY % of patients requiring chemo 75.12 50 62.5 90 100 66.67 66 100 66 50 100
# of patients requiring chemo 114340.09 13115 15733 17494 17259 9254 6228 8107 4029 2502 4467
ALOS for chemo 3.64 3 3.5 3 3 3 3.4 6.5 3 5 3
# of chemo beds/day 1139.49 107.72 150.76 143.69 141.76 76.01 57.97 144.27 33.09 34.25 36.69
RADIOTHERAPY % of patients requiring RT 59.98 90 41.25 25 100 40 71 32.5 50 50 100
# of patients 91291.55 23607 10384 4860 17259 5552 6700 2635 3053 2502 4467
# of admitted patients 22822.89 5902 2596 1215 4315 1388 1675 659 763 626 1117
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 312.43 80.79 35.54 16.63 59.07 19.00 22.93 9.02 10.45 8.56 15.29
ONCOLOGY BEDS Maximum # of beds/day 2929 369 593 496 438 232 159 154 72 57 163
# of 24 bed oncology wards 123 16 25 21 19 10 7 7 3 3 7
ONCOLOGISTS Hematologist Oncologists 17 0 0 0 0 0 0 17 0 0 0
Surgical Oncologists 163 14 39 29 36 17 9 0 5 2 10
Radiation/Clinical Oncologists 762 132 126 98 87 70 48 41 31 26 23
Urologic Oncologists 51 0 51 0 0 0 0 0 0 0 0
Gynecologic Oncologist 28 0 0 0 0 28 0 0 0 0 0
Neuro-Oncologists 9 0 0 0 0 0 0 0 0 0 9
Pathologists 305 53 51 39 35 28 19 17 13 11 9
PHARMACY Onco-Pharmacists 492 64 100 84 76 40 28 28 12 12 28
Onco-Pharmacy Technicians 738 96 150 126 114 60 42 42 18 18 42
PALLIATIVE CARE Palliative Care Specialists 305 53 51 39 35 28 19 17 13 11 9
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 1096 284 125 59 208 67 81 32 37 31 54
Medical Physicists 366 95 42 20 70 23 27 11 13 11 18
Linac Engineers 92 24 11 5 18 6 7 3 4 3 5
Radiation Oncology Nurses 366 95 42 20 70 23 27 11 13 11 18
Linacs / Co 60 Megavolt Units 183 48 21 10 35 12 14 6 7 6 9
# of Brachytherapy units 92 24 11 5 18 6 7 3 4 3 5
# CT simulators 92 24 11 5 18 6 7 3 4 3 5
# of treatment planning computers 92 24 11 5 18 6 7 3 4 3 5
# of dosimetry/QA package 92 24 11 5 18 6 7 3 4 3 5
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 1845 240 375 315 285 150 105 105 45 45 105

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

Warszawa Kraków
Population 1724404 758992
New Cancer Cases 6851 3016
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 3511 1545
Average length of stay (ALOS) for surgery 6.91 6.91
# of surgery beds/day 66.45 29.25
CHEMOTHERAPY % of patients requiring chemo 75.12 75.12
# of patients requiring chemo 5146 2266
ALOS for chemo 3.64 3.64
# of chemo beds/day 51.29 22.58
RADIOTHERAPY % of patients requiring RT 59.98 59.98
# of patients 4109 1809
# of admitted patients 1027 452
ALOS 5 5
# of RT beds/day 14.06 6.19
ONCOLOGY BEDS Maximum # of beds/day 132 59
# of 24 bed oncology wards 6 3
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 8 4
Radiation/Clinical Oncologists 35 16
Urologic Oncologists 3 2
Gynecologic Oncologist 2 1
Neuro-Oncologists 1 1
Pathologists 14 7
PHARMACY Onco-Pharmacists 24 12
Onco-Pharmacy Technicians 36 18
PALLIATIVE CARE Palliative Care Specialists 14 7
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 50 22
Medical Physicists 17 8
Linac Engineers 5 2
Radiation Oncology Nurses 17 8
Linacs / Co 60 Megavolt Units 9 4
# of Brachytherapy units 5 2
# CT simulators 5 2
# of treatment planning computers 5 2
# of dosimetry/QA package 5 2
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 90 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