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Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN SLOVAKIA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Colorectal Breast Lung Gynecological Hematological Head and Neck Stomach Pancreas Melanoma of skin
New Cancer Cases 24045 4214 3963 2643 2531 2052 1633 1568 901 881 806
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 73.75 70 100 25 56.67 0 44 33 10 100
Number (#) of patients needing surgery 12321 3108 2774 2643 633 1163 0 690 297 88 806
Average length of stay (ALOS) for surgery 6.31 8 9 5 10 6.33 0 6.8 5 10 3
# of surgery beds/day 212.97 68.07 68.36 36.18 17.32 20.16 0.00 12.84 4.07 2.41 6.62
CHEMOTHERAPY % of patients requiring chemo 70.12 62.5 90 100 50 66.67 100 66 66 50 50
# of patients requiring chemo 16859.63 2634 3567 2643 1266 1368 1633 1035 595 441 403
ALOS for chemo 3.64 3.5 3 3 3 3 6.5 3.4 3 5 3
# of chemo beds/day 168.02 25.24 29.30 21.71 10.39 11.24 29.06 9.63 4.88 6.03 3.31
RADIOTHERAPY % of patients requiring RT 54.98 41.25 25 100 90 40 32.5 71 50 50 50
# of patients 13218.74 1738 991 2643 2278 821 531 1113 451 441 403
# of admitted patients 3304.68 435 248 661 569 205 133 278 113 110 101
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 45.24 5.95 3.39 9.05 7.80 2.81 1.82 3.81 1.54 1.51 1.38
ONCOLOGY BEDS Maximum # of beds/day 427 100 102 67 36 35 31 27 11 10 12
# of 24 bed oncology wards 18 5 5 3 2 2 2 2 1 1 1
ONCOLOGISTS Hematologist Oncologists 4 0 0 0 0 0 4 0 0 0 0
Surgical Oncologists 26 7 6 6 2 3 0 2 1 1 2
Radiation/Clinical Oncologists 121 22 20 14 13 11 9 8 5 5 5
Urologic Oncologists 9 9 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 5 0 0 0 0 5 0 0 0 0 0
Pathologists 49 9 8 6 6 5 4 4 2 2 2
PHARMACY Onco-Pharmacists 72 20 20 12 8 8 8 8 4 4 4
Onco-Pharmacy Technicians 108 30 30 18 12 12 12 12 6 6 6
PALLIATIVE CARE Palliative Care Specialists 49 9 8 6 6 5 4 4 2 2 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 159 21 12 32 28 10 7 14 6 6 5
Medical Physicists 53 7 4 11 10 4 3 5 2 2 2
Linac Engineers 14 2 1 3 3 1 1 2 1 1 1
Radiation Oncology Nurses 53 7 4 11 10 4 3 5 2 2 2
Linacs / Co 60 Megavolt Units 27 4 2 6 5 2 2 3 1 1 1
# of Brachytherapy units 14 2 1 3 3 1 1 2 1 1 1
# CT simulators 14 2 1 3 3 1 1 2 1 1 1
# of treatment planning computers 14 2 1 3 3 1 1 2 1 1 1
# of dosimetry/QA package 14 2 1 3 3 1 1 2 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 270 75 75 45 30 30 30 30 15 15 15

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

Bratislava Košice
Population 417389 239797
New Cancer Cases 1832 1053
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 939 540
Average length of stay (ALOS) for surgery 6.31 6.31
# of surgery beds/day 16.23 9.33
CHEMOTHERAPY % of patients requiring chemo 70.12 70.12
# of patients requiring chemo 1285 738
ALOS for chemo 3.64 3.64
# of chemo beds/day 12.80 7.36
RADIOTHERAPY % of patients requiring RT 54.98 54.98
# of patients 1007 579
# of admitted patients 252 145
ALOS 5 5
# of RT beds/day 3.45 1.98
ONCOLOGY BEDS Maximum # of beds/day 33 19
# of 24 bed oncology wards 2 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 2
Radiation/Clinical Oncologists 10 6
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 4 3
PHARMACY Onco-Pharmacists 8 4
Onco-Pharmacy Technicians 12 6
PALLIATIVE CARE Palliative Care Specialists 4 3
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 13 7
Medical Physicists 5 3
Linac Engineers 2 1
Radiation Oncology Nurses 5 3
Linacs / Co 60 Megavolt Units 3 2
# 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 10 cancers