{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T10:46:23Z","timestamp":1792406783217,"version":"4.4.0"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004099","name":"Ligue Contre le Cancer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004099","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hematological Oncology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    The effect of geographical accessibility to care and patients' social environment on survival has been little studied for hematological malignancies. The objective was to investigate the influence of these factors on excess mortality for these patients in France. This study included 13 French cancer registries. Hodgkin's lymphomas, myeloid haemopathies, multiple myeloma, chronic lymphatic leukemia, diffuse large B\u2010cell lymphoma and follicular lymphoma diagnosed between 2013 and 2015 are included (\n                    <jats:italic>N<\/jats:italic>\n                    \u00a0=\u00a019,041). Social environment was measured using the European Deprivation Index. The access of secondary care was measured by travel time to the nearest reference care center, and access to primary care was estimated using Spatial Accessibility multiscALar (SCALe) index and\n                    <jats:italic>Accessibilit\u00e9 Potentielle Localis\u00e9e<\/jats:italic>\n                    (APL). The effects of these indicators on excess mortality were investigated using additive excess hazard models with multidimensional penalized splines. For myeloid haemopathies, only the social environment had a significant effect on excess mortality. For diffuse large B\u2010cell lymphoma, the travel time to nearest reference care center had an impact on excess mortality. Finally, for follicular lymphoma, an increase of APL index was associated with a decrease of mortality. Our study showed that the social environment and the geographical accessibility to care were prognostic factors for survival in certain hematological malignancies.\n                  <\/jats:p>","DOI":"10.1002\/hon.70259","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T18:25:38Z","timestamp":1789755938000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Social Inequalities, Geographical Accessibility to Care, and Excess Mortality for Patients With Hematological Malignancies in France: Results From French Cancer Registries"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4368-6981","authenticated-orcid":false,"given":"J.","family":"Gardy","sequence":"first","affiliation":[{"name":"Calvados General Tumor Registry Centre Fran\u00e7ois Baclesse  Caen France"},{"name":"Calvados Digestive Cancer Registry University Hospital of Caen  Caen France"},{"name":"ANTICIPE U1086 INSERM\u2010UCN University of Caen  Caen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6863-9992","authenticated-orcid":false,"given":"X.","family":"Troussard","sequence":"additional","affiliation":[{"name":"FRANCIM Network (French National Network of Cancer Registries)  Toulouse France"},{"name":"Lower Normandy Hemopathy Registry Normandie Univ UNICAEN CHU de Caen Normandie  Caen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3604-5573","authenticated-orcid":false,"given":"M.","family":"Maynadi\u00e9","sequence":"additional","affiliation":[{"name":"FRANCIM Network (French National Network of Cancer Registries)  Toulouse France"},{"name":"Registry of Hematological Malignancies of C\u00f4te d'Or Dijon\u2010Bourgogne University Hospital  Dijon France"},{"name":"INSERM, UMR1231, Bourgogne Franche\u2010Comt\u00e9 University  Dijon 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(French National Network of Cancer Registries)  Toulouse France"},{"name":"Tarn Cancer Registry Claudius Regaud Oncopole IUCT\u2010O  Toulouse France"},{"name":"CERPOP INSERM U1295 Toulouse III University  Toulouse France"},{"name":"Toulouse University Hospital  Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4800-7282","authenticated-orcid":false,"given":"A.","family":"Gasch\u2010Illescas","sequence":"additional","affiliation":[{"name":"FRANCIM Network (French National Network of Cancer Registries)  Toulouse France"},{"name":"General Cancer Registry of Lille and the Surrounding Region GCS C2RC  Lille France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5320-8073","authenticated-orcid":false,"given":"K.","family":"Hammas","sequence":"additional","affiliation":[{"name":"FRANCIM Network (French National Network of Cancer Registries)  Toulouse France"},{"name":"Haut\u2010Rhin Cancer Registry Groupe hospitalier de la r\u00e9gion de Mulhouse et Sud\u2010Alsace (GHRMSA)  Mulhouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6353-4292","authenticated-orcid":false,"given":"F.","family":"Hur\u00e9\u2010Papa\u00efconomou","sequence":"additional","affiliation":[{"name":"FRANCIM Network (French National Network of Cancer Registries)  Toulouse France"},{"name":"Haute\u2010Vienne General Cancer Registry CHU Limoges  Limoges France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5091-6418","authenticated-orcid":false,"given":"B.","family":"Lap\u00f4tre\u2010Ledoux","sequence":"additional","affiliation":[{"name":"FRANCIM Network (French National Network of Cancer Registries)  Toulouse France"},{"name":"Somme Cancer Registry CHU Amiens\u2010Picardie  Amiens France"},{"name":"CHIMERE (Chirurgie, imagerie et r\u00e9g\u00e9n\u00e9ration tissulaire de 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