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Last Updated: 06/29/15

HUMAN RESOURCES FOR TREATING NEW CANCER CASES IN SLOVENIA

Cancer All cancers
excl. non-melanoma
skin cancer
Urological Colorectal Lung Breast Hematological Gynecological Head and Neck Melanoma of skin Stomach Pancreas
New Cancer Cases 11457 2547 1621 1360 1258 694 637 625 533 468 383
Rank 1 2 3 4 5 6 7 8 9 10
SURGERY % of patients needing surgery 51.24 73.75 70 25 100 0 56.67 44 100 33 10
Number (#) of patients needing surgery 5871 1878 1135 340 1258 0 361 275 533 154 38
Average length of stay (ALOS) for surgery 6.31 8 9 10 5 0 6.33 6.8 3 5 10
# of surgery beds/day 101.48 41.14 27.96 9.31 17.22 0.00 6.26 5.12 4.38 2.11 1.05
CHEMOTHERAPY % of patients requiring chemo 70.12 62.5 90 50 100 100 66.67 66 50 66 50
# of patients requiring chemo 8033.30 1592 1459 680 1258 694 425 413 267 309 192
ALOS for chemo 3.64 3.5 3 3 3 6.5 3 3.4 3 3 5
# of chemo beds/day 80.06 15.25 11.98 5.59 10.33 12.35 3.49 3.84 2.19 2.54 2.62
RADIOTHERAPY % of patients requiring RT 54.98 41.25 25 90 100 32.5 40 71 50 50 50
# of patients 6298.49 1051 405 1224 1258 226 255 444 267 234 192
# of admitted patients 1574.62 263 101 306 315 56 64 111 67 59 48
ALOS 5.00 5 5 5 5 5 5 5 5 5 5
# of RT beds/day 21.56 3.60 1.39 4.19 4.31 0.77 0.87 1.52 0.91 0.80 0.66
ONCOLOGY BEDS Maximum # of beds/day 204 60 42 20 32 14 11 11 8 6 5
# of 24 bed oncology wards 9 3 2 1 2 1 1 1 1 1 1
ONCOLOGISTS Hematologist Oncologists 2 0 0 0 0 2 0 0 0 0 0
Surgical Oncologists 13 4 3 1 3 0 1 1 2 1 1
Radiation/Clinical Oncologists 58 13 9 7 7 4 4 4 3 3 2
Urologic Oncologists 6 6 0 0 0 0 0 0 0 0 0
Gynecologic Oncologist 2 0 0 0 0 0 2 0 0 0 0
Pathologists 23 6 4 3 3 2 2 2 2 1 1
PHARMACY Onco-Pharmacists 36 12 8 4 8 4 4 4 4 4 4
Onco-Pharmacy Technicians 54 18 12 6 12 6 6 6 6 6 6
PALLIATIVE CARE Palliative Care Specialists 23 6 4 3 3 2 2 2 2 1 1
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 76 13 5 15 16 3 4 6 4 3 3
Medical Physicists 26 5 2 5 6 1 2 2 2 1 1
Linac Engineers 7 2 1 2 2 1 1 1 1 1 1
Radiation Oncology Nurses 26 5 2 5 6 1 2 2 2 1 1
Linacs / Co 60 Megavolt Units 13 3 1 3 3 1 1 1 1 1 1
# of Brachytherapy units 7 2 1 2 2 1 1 1 1 1 1
# CT simulators 7 2 1 2 2 1 1 1 1 1 1
# of treatment planning computers 7 2 1 2 2 1 1 1 1 1 1
# of dosimetry/QA package 7 2 1 2 2 1 1 1 1 1 1
NURSING Oncology Nursing Staff other than Radiation Oncology Nurses 135 45 30 15 30 15 15 15 15 15 15

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

Ljubljana Maribor
Population 277554 95586
New Cancer Cases 1559 537
SURGERY % of patients needing surgery 51.24 51.24
Number (#) of patients needing surgery 799 275
Average length of stay (ALOS) for surgery 6.31 6.31
# of surgery beds/day 13.81 4.76
CHEMOTHERAPY % of patients requiring chemo 70.12 70.12
# of patients requiring chemo 1093 377
ALOS for chemo 3.64 3.64
# of chemo beds/day 10.89 3.75
RADIOTHERAPY % of patients requiring RT 54.98 54.98
# of patients 857 295
# of admitted patients 214 74
ALOS 5 5
# of RT beds/day 2.93 1.01
ONCOLOGY BEDS Maximum # of beds/day 28 10
# of 24 bed oncology wards 2 1
ONCOLOGISTS Hematologist Oncologists 1 1
Surgical Oncologists 2 1
Radiation/Clinical Oncologists 8 3
Urologic Oncologists 1 1
Gynecologic Oncologist 1 1
Pathologists 4 2
PHARMACY Onco-Pharmacists 8 4
Onco-Pharmacy Technicians 12 6
PALLIATIVE CARE Palliative Care Specialists 4 2
RADIATION THERAPY STAFF & EQUIPMENT Radiation Therapy Technicians 11 4
Medical Physicists 4 2
Linac Engineers 1 1
Radiation Oncology Nurses 4 2
Linacs / Co 60 Megavolt Units 2 1
# 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 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