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id
int64
age
int64
education
string
urban
int64
family_history_pca
int64
bmi
float64
hiv_positive
int64
diabetes
int64
hypertension
int64
presenting_symptom
string
symptom_duration_months
int64
traditional_medicine_first
int64
dre_performed
int64
dre_suspicious
int64
psa_tested
int64
psa_level
float64
psa_elevated
int64
biopsy_performed
int64
gleason_score
int64
gleason_group
int64
stage
string
metastatic
int64
bone_metastases
int64
lymph_node_metastases
int64
ct_scan_done
int64
bone_scan_done
int64
treatment_received
string
adt_type
string
pain_management
int64
treatment_delay_months
int64
referral_needed
int64
referral_completed
int64
died_within_2_years
int64
quality_of_life
string
castration_resistant
int64
1
69
primary
0
0
16.2
0
0
0
luts
8
0
0
0
1
179.6
1
0
0
0
III
0
0
0
0
0
palliative
none
1
2
1
0
1
poor
0
2
65
secondary
1
0
25.5
0
0
0
screening
6
0
1
1
1
9.4
1
0
0
0
IV
1
1
0
0
0
palliative
none
1
3
0
0
0
moderate
0
3
68
secondary
1
0
24.3
0
0
0
weight_loss
3
0
1
1
1
141.5
1
0
0
0
IV
1
1
0
0
0
palliative
none
1
0
0
0
1
moderate
0
4
65
tertiary
1
1
26
0
0
0
weight_loss
9
0
0
0
1
19.2
1
0
0
0
II
0
0
0
0
0
palliative
none
1
2
1
0
0
good
0
5
63
secondary
1
1
18.7
0
0
0
luts
8
0
0
0
1
24.3
1
0
0
0
II
0
0
0
0
0
palliative
none
1
0
1
1
0
moderate
0
6
62
primary
0
0
23
0
0
1
bone_pain
7
1
1
1
1
8.2
1
0
0
0
III
0
0
0
0
0
palliative
none
1
16
1
0
1
moderate
0
7
93
tertiary
0
0
25.1
0
0
0
luts
11
0
1
1
1
16
1
0
0
0
IV
1
1
0
0
0
adt_only
antiandrogen
1
0
0
0
1
moderate
0
8
74
primary
0
0
23.4
0
0
1
luts
8
0
0
0
1
42.1
1
0
0
0
IV
1
1
0
0
0
palliative
none
1
0
0
0
1
moderate
0
9
55
none
1
0
23.3
0
0
0
luts
3
0
0
0
1
25.9
1
0
0
0
I
0
0
0
0
0
adt_only
lhrh_agonist
0
0
1
0
0
good
0
10
75
secondary
1
0
26
0
0
0
haematuria
8
0
0
0
1
47.6
1
0
0
0
III
0
0
0
0
0
adt_only
lhrh_agonist
0
6
1
0
0
moderate
0
11
69
none
0
0
15.4
0
0
0
urinary_retention
8
0
1
0
0
0
0
0
0
0
III
0
0
0
0
0
adt_only
lhrh_agonist
0
5
1
1
0
good
0
12
58
none
0
0
22.5
0
0
1
luts
2
0
1
1
1
35.9
1
0
0
0
IV
1
1
1
0
0
adt_only
surgical_castration
0
2
0
0
1
moderate
0
13
56
secondary
1
0
17
0
0
0
weight_loss
10
0
0
0
1
22.7
1
0
0
0
IV
1
1
1
0
0
palliative
none
1
0
0
0
1
moderate
0
14
82
primary
1
0
23.8
0
0
0
screening
7
0
1
0
1
114.7
1
0
0
0
IV
1
1
0
0
0
adt_only
lhrh_agonist
0
0
0
0
1
good
0
15
73
tertiary
1
0
21.9
0
0
0
screening
6
0
1
1
1
187.3
1
0
0
0
IV
1
1
0
0
0
palliative
none
1
4
0
0
0
good
0
16
52
none
0
0
21.7
0
0
0
weight_loss
5
0
1
1
1
148.4
1
0
0
0
IV
1
1
0
0
0
none
none
0
1
0
0
1
poor
0
17
74
tertiary
1
0
23.2
0
0
0
luts
5
0
1
1
1
64
1
0
0
0
IV
1
1
0
0
0
none
none
1
4
0
0
1
poor
0
18
61
secondary
1
0
26.1
0
0
0
luts
25
0
1
1
1
1.7
0
0
0
0
III
0
0
0
0
0
none
none
0
0
0
0
0
moderate
0
19
76
secondary
1
0
29.4
0
0
1
haematuria
3
0
0
0
0
0
0
0
0
0
III
0
0
0
0
0
none
none
0
0
0
0
1
good
0
20
61
none
0
0
25.7
0
0
1
screening
4
0
1
1
0
0
0
0
0
0
II
0
0
0
0
0
palliative
none
1
0
1
1
0
moderate
0
21
69
secondary
0
0
17.6
0
0
1
bone_pain
3
1
1
1
1
21.6
1
0
0
0
III
0
0
0
0
0
none
none
0
0
1
0
1
moderate
0
22
79
tertiary
0
0
23.3
0
0
0
bone_pain
3
1
0
0
1
21.6
1
0
0
0
III
0
0
0
0
0
adt_only
lhrh_agonist
0
0
0
0
0
good
1
23
60
none
1
0
33.7
0
0
0
haematuria
8
0
1
1
1
90.2
1
0
0
0
IV
1
0
0
0
0
none
none
0
1
0
0
1
moderate
0
24
80
secondary
0
0
22.6
0
0
1
luts
7
0
1
1
1
2.6
0
0
0
0
IV
1
1
0
0
0
palliative
none
1
0
0
0
1
moderate
0
25
70
primary
0
0
23.7
0
0
0
bone_pain
2
0
0
0
1
10.5
1
0
0
0
III
0
0
0
0
0
adt_only
antiandrogen
0
2
1
0
1
good
0
26
68
tertiary
0
0
23
0
0
0
weight_loss
22
1
0
0
1
9.4
1
0
0
0
IV
1
0
1
0
0
palliative
none
0
2
0
0
1
good
0
27
63
primary
0
0
16.9
0
0
1
urinary_retention
9
0
0
0
1
2.6
0
0
0
0
I
0
0
0
0
0
none
none
0
1
0
0
0
moderate
0
28
73
none
1
0
22.2
1
0
0
luts
17
0
1
1
0
0
0
0
0
0
IV
1
1
0
0
0
adt_only
surgical_castration
0
3
0
0
1
moderate
0
29
73
tertiary
1
0
23.4
0
0
0
urinary_retention
4
0
1
1
1
6.3
1
0
0
0
III
0
0
0
0
0
palliative
none
0
1
1
0
0
moderate
0
30
63
tertiary
1
0
25.9
0
0
0
haematuria
6
1
1
1
0
0
0
0
0
0
IV
1
1
0
0
0
adt_only
lhrh_agonist
0
1
0
0
0
poor
0
31
62
secondary
1
0
22.3
0
0
1
screening
2
1
1
1
1
24.5
1
0
0
0
III
0
0
0
0
0
adt_only
surgical_castration
0
0
1
1
1
good
0
32
66
none
0
1
23.2
0
0
0
weight_loss
5
0
1
1
1
8.3
1
0
0
0
III
0
0
0
0
0
none
none
0
0
1
0
1
good
0
33
65
tertiary
1
0
27.2
0
0
1
urinary_retention
17
0
1
0
1
71.8
1
0
0
0
IV
1
1
0
0
0
adt_chemo
lhrh_agonist
0
1
0
0
0
moderate
0
34
70
none
0
0
26.5
1
0
1
luts
21
0
0
0
1
48.6
1
0
0
0
III
0
0
0
0
0
adt_only
lhrh_agonist
0
0
1
0
1
good
0
35
75
none
0
0
23.2
0
0
1
urinary_retention
2
0
0
0
1
147.5
1
0
0
0
IV
1
1
0
0
0
palliative
none
1
3
0
0
1
moderate
0
36
65
tertiary
0
0
23.2
0
0
0
luts
8
0
1
1
0
0
0
0
0
0
III
0
0
0
0
0
none
none
0
2
1
0
1
poor
0
37
67
primary
0
0
25.6
0
0
0
incidental
6
1
1
0
1
576.9
1
0
0
0
IV
1
0
1
0
0
adt_only
lhrh_agonist
0
0
0
0
1
poor
0
38
62
none
1
0
24.1
0
0
0
screening
5
1
0
0
0
0
0
0
0
0
III
0
0
0
0
0
adt_only
lhrh_agonist
0
5
1
1
1
poor
0
39
49
none
1
0
23.6
0
0
0
screening
6
1
1
1
1
0.8
0
0
0
0
IV
1
1
1
0
0
adt_only
surgical_castration
0
1
0
0
1
moderate
0
40
70
secondary
0
0
21.5
0
0
1
luts
13
1
1
1
1
145.6
1
0
0
0
IV
1
1
0
0
0
adt_only
surgical_castration
1
4
0
0
0
poor
0
41
83
primary
0
0
24.3
0
0
0
screening
2
0
1
1
1
121.4
1
0
0
0
III
0
0
0
0
0
none
none
0
2
1
0
1
poor
0
42
70
secondary
0
0
25.9
0
1
0
weight_loss
9
0
0
0
1
40.3
1
0
0
0
IV
1
1
0
0
0
adt_only
surgical_castration
1
0
0
0
1
poor
0
43
72
primary
0
0
22.4
0
0
0
bone_pain
3
0
0
0
1
4
0
0
0
0
IV
1
0
0
0
0
palliative
none
1
1
0
0
1
poor
0
44
66
secondary
0
0
24.5
0
0
0
bone_pain
2
1
1
0
1
103
1
0
0
0
II
0
0
0
0
0
adt_only
antiandrogen
0
6
1
0
1
good
1
45
72
secondary
0
0
26.5
0
0
0
luts
10
0
0
0
1
15.6
1
0
0
0
II
0
0
0
0
0
none
none
0
5
1
0
0
good
0
46
75
primary
0
0
20.6
0
0
0
screening
12
0
0
0
1
4.2
1
0
0
0
IV
1
1
1
0
0
palliative
none
1
0
0
0
0
poor
0
47
61
none
1
0
29.8
0
0
1
bone_pain
4
0
1
0
0
0
0
0
0
0
I
0
0
0
0
0
none
none
0
2
0
0
0
good
0
48
53
none
0
0
24
0
0
0
screening
13
1
0
0
0
0
0
0
0
0
IV
1
1
1
0
0
palliative
none
1
1
0
0
0
poor
0
49
78
primary
0
0
19.4
0
0
0
luts
2
0
1
1
1
10.8
1
0
0
0
III
0
0
0
0
0
none
none
0
5
1
1
0
poor
0
50
64
secondary
1
0
29.2
0
0
0
weight_loss
11
0
1
1
1
93.2
1
0
0
0
I
0
0
0
0
0
adt_only
antiandrogen
0
3
0
0
1
moderate
0
51
67
tertiary
0
0
18.3
0
0
1
haematuria
7
0
0
0
1
17.9
1
0
0
0
II
0
0
0
0
0
palliative
none
1
3
0
0
0
moderate
0
52
68
primary
0
0
27.4
0
1
1
luts
6
0
1
0
1
150.1
1
0
0
0
III
0
0
0
0
0
adt_only
lhrh_agonist
0
0
1
1
1
good
0
53
70
none
0
0
21.2
1
0
1
urinary_retention
3
0
0
0
1
4.2
1
0
0
0
II
0
0
0
0
0
adt_only
antiandrogen
0
3
0
0
0
poor
1
54
71
primary
0
0
26.3
0
0
0
bone_pain
11
0
1
1
1
77.9
1
0
0
0
III
0
0
0
0
0
none
none
0
4
1
0
1
moderate
0
55
63
tertiary
1
0
27.9
0
0
0
urinary_retention
9
0
1
1
1
148.3
1
0
0
0
III
0
0
0
0
0
palliative
none
0
1
0
0
0
moderate
0
56
72
none
0
0
25.5
0
1
1
haematuria
11
1
0
0
0
0
0
0
0
0
IV
1
1
0
0
0
adt_only
antiandrogen
1
5
0
0
1
good
0
57
47
primary
0
0
21.4
0
0
0
bone_pain
6
0
1
1
0
0
0
0
0
0
IV
1
1
0
0
0
adt_only
antiandrogen
0
0
0
0
1
poor
1
58
70
primary
0
0
21.8
0
0
1
bone_pain
3
1
1
1
1
6.6
1
0
0
0
IV
1
0
0
0
0
adt_only
lhrh_agonist
0
1
0
0
1
moderate
0
59
70
primary
0
0
25.3
0
0
0
luts
18
0
1
1
0
0
0
0
0
0
IV
1
0
0
0
0
adt_only
lhrh_agonist
0
0
0
0
0
moderate
1
60
70
tertiary
1
0
27.8
0
0
0
screening
5
0
1
1
0
0
0
0
0
0
IV
1
1
0
0
0
adt_only
surgical_castration
1
0
0
0
1
poor
0
61
60
secondary
1
0
16.5
0
0
0
screening
6
1
1
1
1
13.9
1
0
0
0
IV
1
1
0
0
0
adt_only
antiandrogen
0
2
0
0
0
moderate
1
62
87
primary
0
0
23.1
0
0
0
haematuria
25
0
1
0
1
22.1
1
0
0
0
III
0
0
0
0
0
palliative
none
0
2
1
0
1
moderate
0
63
61
none
0
0
23.4
1
0
0
incidental
12
1
0
0
1
18.3
1
0
0
0
IV
1
0
0
0
0
adt_only
lhrh_agonist
0
2
0
0
0
moderate
0
64
75
primary
0
0
18.3
0
0
1
urinary_retention
13
0
1
1
0
0
0
0
0
0
III
0
0
0
0
0
adt_only
lhrh_agonist
0
1
0
0
0
good
0
65
54
none
1
0
23.9
0
0
1
bone_pain
6
0
0
0
1
14.2
1
0
0
0
IV
1
1
0
0
0
adt_only
surgical_castration
0
2
0
0
1
good
0
66
75
primary
1
0
21.1
0
0
0
screening
30
0
0
0
1
167.1
1
0
0
0
I
0
0
0
0
0
palliative
none
1
1
1
0
0
good
0
67
58
secondary
0
0
30.1
0
0
0
luts
8
0
1
1
1
59.9
1
0
0
0
III
0
0
0
0
0
none
none
0
0
0
0
1
good
0
68
73
secondary
1
0
24.6
0
0
1
luts
10
0
1
1
1
23.8
1
0
0
0
IV
1
0
1
0
0
adt_only
lhrh_agonist
0
2
0
0
1
moderate
0
69
60
primary
0
0
27.8
0
0
0
incidental
7
0
0
0
1
53.6
1
0
0
0
III
0
0
0
0
0
none
none
0
5
1
0
1
good
0
70
79
primary
0
0
22.5
0
0
1
luts
9
0
1
0
1
10.6
1
0
0
0
IV
1
1
1
0
0
none
none
0
2
0
0
1
good
0
71
76
primary
0
0
23.9
0
0
0
bone_pain
7
0
0
0
0
0
0
0
0
0
III
0
0
0
0
0
adt_only
surgical_castration
0
1
1
0
1
moderate
0
72
78
secondary
0
0
17.7
0
0
0
screening
14
0
1
1
0
0
0
0
0
0
II
0
0
0
0
0
none
none
0
1
0
0
0
poor
0
73
68
primary
0
0
28
0
0
1
luts
11
0
1
1
1
14.8
1
0
0
0
II
0
0
0
0
0
none
none
0
0
0
0
1
poor
0
74
62
none
0
0
33.5
0
1
0
haematuria
13
0
1
1
1
48.9
1
0
0
0
IV
1
0
1
0
0
palliative
none
1
12
0
0
0
poor
0
75
62
none
1
1
18.4
0
0
1
luts
13
0
0
0
1
28.9
1
0
0
0
IV
1
1
0
0
0
adt_only
lhrh_agonist
1
3
0
0
1
good
1
76
71
primary
0
0
21.7
0
0
1
haematuria
10
0
1
1
1
430.5
1
0
0
0
IV
1
1
0
0
0
palliative
none
0
1
0
0
1
moderate
0
77
56
none
0
0
22.2
0
0
0
urinary_retention
7
0
1
1
1
111.5
1
0
0
0
IV
1
0
0
0
0
adt_chemo
antiandrogen
0
3
0
0
1
moderate
1
78
66
primary
0
0
22.7
0
0
0
luts
8
0
1
1
1
1.9
0
0
0
0
IV
1
1
0
0
0
none
none
1
2
0
0
1
moderate
0
79
62
tertiary
0
0
23
0
0
1
urinary_retention
13
0
1
0
0
0
0
0
0
0
IV
1
1
1
0
0
adt_chemo
lhrh_agonist
0
2
0
0
1
poor
0
80
61
none
1
0
18.8
0
0
0
luts
5
1
1
1
1
67.5
1
0
0
0
III
0
0
0
0
0
none
none
0
0
1
0
1
good
0
81
76
tertiary
1
0
26.7
0
0
1
haematuria
4
0
0
0
1
99
1
0
0
0
IV
1
1
1
0
0
adt_only
lhrh_agonist
1
0
0
0
1
poor
0
82
52
secondary
1
0
19.5
0
1
1
bone_pain
6
1
0
0
0
0
0
0
0
0
IV
1
1
0
0
0
none
none
1
6
0
0
0
poor
0
83
59
secondary
1
0
28.8
0
0
0
luts
22
1
0
0
0
0
0
0
0
0
IV
1
1
0
0
0
palliative
none
1
1
0
0
1
moderate
0
84
59
secondary
1
0
23.9
0
0
0
screening
2
0
0
0
1
2.2
0
0
0
0
III
0
0
0
0
0
adt_only
lhrh_agonist
0
4
1
0
0
moderate
0
85
75
tertiary
0
0
24.7
0
0
1
haematuria
2
0
1
1
1
23.2
1
0
0
0
III
0
0
0
0
0
none
none
0
1
1
1
1
good
0
86
71
primary
0
0
23
0
1
0
bone_pain
8
1
0
0
0
0
0
0
0
0
II
0
0
0
0
0
none
none
0
0
0
0
0
poor
0
87
86
none
0
0
25
0
0
1
bone_pain
4
0
1
0
1
32.6
1
0
0
0
III
0
0
0
0
0
palliative
none
1
3
0
0
1
poor
0
88
68
primary
0
0
26.3
0
0
0
screening
6
0
1
1
1
16.5
1
0
0
0
IV
1
1
1
0
0
adt_only
lhrh_agonist
1
0
0
0
0
moderate
1
89
67
primary
1
0
28.6
0
0
1
weight_loss
5
0
0
0
1
3.8
0
0
0
0
III
0
0
0
0
0
palliative
none
0
1
1
1
0
good
0
90
63
none
1
0
24.2
0
0
0
bone_pain
4
1
1
1
1
153.5
1
0
0
0
IV
1
1
1
0
0
palliative
none
0
4
0
0
0
moderate
0
91
67
secondary
1
0
16.8
0
0
1
haematuria
2
0
0
0
1
6.9
1
0
0
0
I
0
0
0
0
0
palliative
none
1
0
1
0
0
poor
0
92
67
tertiary
0
0
24.2
0
0
0
luts
9
0
1
0
1
1,104.1
1
0
0
0
IV
1
0
1
0
0
adt_chemo
surgical_castration
0
6
0
0
1
moderate
0
93
91
secondary
0
1
20.2
0
1
0
luts
10
1
0
0
0
0
0
0
0
0
III
0
0
0
0
0
palliative
none
0
5
1
1
0
moderate
0
94
78
primary
0
1
35.3
0
0
0
bone_pain
14
0
1
0
1
68.1
1
0
0
0
I
0
0
0
0
0
none
none
0
1
1
1
0
moderate
0
95
67
none
1
0
26.2
0
1
0
luts
6
1
1
1
1
9.8
1
0
0
0
IV
1
1
0
0
0
none
none
0
12
0
0
1
good
0
96
63
secondary
0
0
31.1
0
0
0
urinary_retention
18
0
1
1
1
10.1
1
0
0
0
III
0
0
0
0
0
palliative
none
1
5
1
0
1
good
0
97
81
none
1
0
23.6
0
0
0
haematuria
4
0
1
1
1
10.8
1
0
0
0
II
0
0
0
0
0
none
none
0
1
1
0
0
good
0
98
69
primary
0
0
15
0
0
1
bone_pain
8
1
0
0
1
16.7
1
0
0
0
I
0
0
0
0
0
palliative
none
1
2
0
0
1
good
0
99
62
primary
0
0
28.4
0
0
0
incidental
6
0
1
1
1
201.2
1
0
0
0
IV
1
1
0
0
0
none
none
1
0
0
0
1
poor
0
100
42
primary
0
0
31.7
0
0
1
weight_loss
2
0
0
0
1
57.4
1
0
0
0
IV
1
1
0
0
0
adt_chemo
surgical_castration
1
0
0
0
1
good
0
End of preview. Expand in Data Studio

Prostate Cancer Dataset

Abstract

This dataset provides 30,000 simulated prostate cancer patient records (10,000 per scenario) from sub-Saharan Africa. Each record contains 40+ variables including presentation, PSA, biopsy, staging, treatment, and survival. Three settings: tertiary oncology (40% 2yr mortality), district hospital (67%), and rural health centre (77%).

1. Introduction

Prostate cancer is the most common male cancer in SSA with high incidence and mortality rates. Late-stage presentation is the norm β€” most men present with advanced disease. PSA screening is inconsistent, biopsy access limited, and radiotherapy severely restricted. ADT (often surgical castration) remains the primary treatment for many. Poor survival compared to high-income countries reflects late diagnosis and treatment access barriers.

This dataset is entirely simulated. It must not be used for clinical decision-making.

2. Methodology

2.1 Parameterization

Parameter Value Source
#1 male cancer in SSA Yes PMC 2022
Late-stage presentation 55-62% Stage IV PMC 2021
PSA screening inconsistent Yes BJUI 2024
Radiotherapy access Very limited PubMed 2024
5-year survival SSA 15-55% PMC 2021

2.2 Scenario Design

Scenario PSA Biopsy RT Surgery 2yr Mort
Tertiary oncology Yes Yes Yes Yes 40%
District hospital Yes No No No 67%
Rural HC No No No No 77%

3. Schema

Column Type Description
id int Unique identifier
age int Patient age
presenting_symptom categorical luts / bone_pain / retention / haematuria
psa_tested binary PSA tested
psa_level float PSA level ng/ml
biopsy_performed binary Biopsy done
gleason_score int Gleason score
stage categorical I / II / III / IV
metastatic binary Metastatic disease
bone_metastases binary Bone mets
treatment_received categorical prostatectomy / radiotherapy / adt / palliative / none
died_within_2_years binary 2-year mortality
castration_resistant binary CRPC

4. Validation

Validation Report

Key validation checks:

  • 2yr mortality gradient: 40% β†’ 67% β†’ 77% βœ“
  • Stage IV: 42% β†’ 55% β†’ 61% βœ“
  • No treatment: 12% β†’ 29% β†’ 57% βœ“
  • PSA access: 80% β†’ 79% β†’ 0% βœ“
  • Late presentation dominant βœ“
  • Referral gap significant βœ“

5. Usage

from datasets import load_dataset
dataset = load_dataset("electricsheepafrica/prostate-cancer", "district_hospital")
df = dataset["train"].to_pandas()

6. Limitations

  • Simulated: Not from real cancer registries.
  • No genomic data: No BRCA/DNA repair markers.
  • Simplified staging: No detailed TNM.
  • No longitudinal PSA: No serial measurements.
  • 2-year outcome only: No 5/10-year survival.

7. References

  1. PMC (2022). PCa screening/diagnosis/treatment in SSA.
  2. PMC (2023). Public awareness PCa screening South Africa.
  3. BJUI (2024). Global viewpoints PCa in SSA.
  4. PMC (2021). PCa survival SSA by stage.
  5. PubMed (2023). PCa management barriers in SSA.
  6. PubMed (2018). Radiotherapy PCa Ghana.
  7. PubMed (2024). Radiotherapy access barriers SSA.

Citation

@dataset{esa_prostate_cancer_2025,
  title={Prostate Cancer Dataset},
  author={Electric Sheep Africa},
  year={2025},
  publisher={Hugging Face},
  url={https://huggingface.co/datasets/electricsheepafrica/prostate-cancer}
}

License

CC-BY-4.0

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