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#Expert Insight: Price Image Formation: When is HILO low?
When consumers choose where to shop, they often consider a store’s price image —does the store have a reputation for having lower or higher prices than its competitors? A store’s reputation for lower prices doesn’t happen by chance. Choosing a pricing strategy is one of the biggest pricing decisions a retailer makes. In “When is HILO Low? Price Image Formation Based on Frequency versus Depth Pricing Strategies,” a recently published paper in the Journal of Consumer Research, co-authors Ryan Hamilton, associate professor of marketing, Ramnath Chellappa, associate dean and Goizueta term professor of information systems and operations management, and Daniel Sheehan, associate professor of marketing and supply chain at the University of Kentucky’s Gatton College of Business and Economics, explore a gap in existing pricing strategy research. “Our research doesn’t threaten the validity of the previous research,” said Hamilton, “but what it does do is point to the limited generalizability of the previous research.” This is because previous pricing strategy research used the same research paradigm: It emphasized consumers’ perspectives as they compared prices simultaneously across multiple stores. Hamilton, Chellappa, and Sheehan wondered what would happen if they studied consumers as they compared prices of products within a store, instead of across stores. When they did so, the authors found that “many of the prominent findings of previous research are reversed,” they wrote. “We propose that when stores’ prices are evaluated one at a time, or in isolation, consumers will rely on the most salient contextual clues available—within-category price information—when forming a price image.” For example, rather than research the price of peanut butter across multiple grocery stores, shoppers often evaluate the price of peanut butter by comparing the prices of the brands on the shelf in front of them. To illustrate their point, the authors explore two basic pricing strategies: a frequency pricing strategy and a depth pricing strategy. Every Day Low Pricing (EDLP) is a frequency strategy where stores offer small price advantages over their competitors on many items. Walmart employs an EDLP strategy. A common depth strategy is a high-low (HILO) pricing strategy. HILO offers infrequent, but deep, price advantages over competitors. Macy’s utilizes this strategy. “The conventional wisdom is that EDLP equals low price,” explained Hamilton. But he and his co-authors argue that in a non-theoretical environment, the effectiveness of EDLP strategies is less clear. The trio hypothesized that the context in which consumers encounter prices has important implications. Specifically, that the frequency advantage of EDLP identified in earlier research was limited to those scenarios where customers were able to simultaneously compare prices across multiple stores. In contrast, they argue that a depth advantage, one resulting from HILO pricing, will be more likely when consumers evaluate store prices separately. “Without simultaneous comparisons across stores, consumers shift from using across-store prices as reference points to using within-category reference prices. As a result of this shift, deep price advantages are easier to evaluate than frequent price advantages and therefore more influential on customers’ formation of price image,” they write. “Because our theoretical account is based on within-category external reference prices, we predict that a depth store is likely to be evaluated as having a lower price image than a frequency store even when consumers are exposed to the prices of just one store,” they write. The authors tested their hypothesis using six separate experiments. All but one of the experiments studied national brands commonly found in grocery stores. (The other experiment used televisions.) In the experiments where participants saw store prices simultaneously, the experiment replicated the frequency advantage noted in previous research. But when participants did not have simultaneous price information across stores, the previous findings didn’t hold “What we found is that if you distance those prices comparisons even a little bit -showing a price on one webpage and then seeing a price on another webpage - that’s enough to completely reverse the findings,” explained Hamilton. In an isolated setting, “a couple of really low prices” will better communicate a store’s low-price image, said Hamilton. “That’s the big story.” While excited about the findings of their research, Hamilton is quick to point out the limits of their hypothesis, such as when pricing information isn’t readily available or when the consumer isn’t familiar with the brands of the product they wish to buy. “People want a simple answer that works everywhere, but it’s more nuanced than that,” said Hamilton. “This [hypothesis] is going to work better under certain set of circumstances than others because people process price information differently.” The insights aren’t only useful for retailers. While using a store’s price image to shop can be efficient from a consumer standpoint, assuming that the prices are low solely because the store has a reputation for low prices isn’t always the case. A retailer’s price image has vulnerabilities. Not everything at Costco is cheaper than it is at Whole Foods. Southwest Airlines may not always be cheaper than Delta Air Lines. “If you’re shopping for things you really care about,” advised Hamilton, “it might be worth doing more across-store price comparisons.” Chellappa is excited about how the paper addresses gaps in traditional economic models of pricing. “While much research in economics and information systems focuses on the availability of information for price comparison, the cognitive aspect of ‘how’ consumers compare and process such information is only explicated by studies such as ours. Looking at pricing through a behavioral lens, capturing consumers’ real shopping behavior reveals great insights that will be useful for firms,” he said. Interested in learning more about consumer behavior and Price Image Formation Based on Frequency versus Depth Pricing Strategies? Then let us help with your coverage and questions. Ryan Hamilton and Ramnath Chellappa are both available to speak regarding this important topic - simply click on either expert's icon now to arrange an interview today.
Goizueta Faculty Member Uncovers Impact of Remote Learning on Educational Inequality
In 2020, the world went into lockdown. Learning in school became learning from the couch. Rather than listening to teachers in-person behind a desk, high school students had to find a computer to stream their lectures and lessons. What happens to educational inequality in a digital-first, remote-learning environment? Whereas students are traditionally bound by their brick-and-mortar schools and the limitations of funding in those areas, what happens when the walls are removed and students have access to the teachers, knowledge, and peers from other areas? Ruomeng Cui and co-researchers, Zhanzhi Zheng from University of North Carolina at Chapel Hill and Shenyang Jiang from Tongji University, decided to find out. In their 2022 paper, currently under review, Cui and her colleagues looked at the performance of high school students in developing and developed regions of China. We thought that remote learning might reduce the inequality gap in education because when students are learning off-line, they’re restricted by their local resources. “It’s quite obvious that developing regions don’t have good resources, experienced teachers, or competitive peers—they often have inferior educational resources in comparison to developed regions,” explains Cui, associate professor of information systems and operations management. “We thought the accessibility of remote learning could help reduce this knowledge gap and help students in developing regions improve their learning outcomes.” Analyzing Education in Developed and Developing Areas The idea for the paper, “Remote Learning and Educational Inequality,” published earlier this year, stemmed from another of Cui’s papers, which looked at the academic productivity of women as a result of the COVID-19 lockdowns. “We wanted to study whether the switch to remote learning impacts educational inequality. Does it make it better or worse?” says Cui. “We are the first ones to offer empirical evidence on such a granular level about a large-scale data set.” The group analyzed the Chinese college entrance exam from 2018 through 2020, which students take during the last few weeks of high school; the test score is a requirement for undergraduate admission in China. It’s common for high schools to announce the number of students who scored 600 or higher (out of 750 total points). Using 1,458 high school exam results from 20 provinces, the group found that in 2020, when remote learning became the norm, “the number of students scoring above 600 points in developing regions increased by 22.22 percent,” in comparison to developed regions. Remote learning significantly improved learning outcomes of students in developing regions. We should think about encouraging the adoption of remote learning in education However, Cui and her co-researchers wanted to go a step further. Because the entrance exams are summaries of student data, they surveyed 1,198 students to drill down and ensure that these results came from remote learning rather than other factors. Respondents were asked to rate aspects of their remote-learning experience, such as access to digital devices, their proficiency in using software, how reliable their internet was, how they interacted with peers and teachers, and their access to online educational resources. The researchers found that students in developing regions were able to better connect with peers and teachers, and the students believed that “their learning efficiency was greater” because of the remote learning. Education inequality is not only a problem in China. It’s everywhere. It’s across the world. Having access to better educational resources online can be applied anywhere. However, the one caveat to their findings: Remote learning is beneficial, but students need devices and the infrastructure to support online learning, which is often lacking in developing regions or underserved areas. “We need to support, build, and develop the digital technology capability that enables the effectiveness of remote learning,” says Cui. Are you a reporter looking to know more about the impact COVID had on education and how inequality plays a role in how we educate students during a pandemic? Then let us help with your coverage and questions. Ruomeng Cui is an Associate Professor of Information Systems & Operations Management at Emory University's Goizueta School of Business. Ruomeng is available to speak with media regarding this topic - simply click on her icon now to arrange an interview today.
Optometry researchers to improve understanding of short sightedness management strategies in kids
• Optometry researchers funded to assess the impact of myopia interventions on vision and visual behaviour in children • Research partnership will improve understanding of myopia management strategies in children • Two-year collaboration between Aston University and industry Researchers at Aston University specialising in myopia - or short sightedness - are starting work on a project with industry partners to better understand how myopia management strategies affect children. The research team based in the College of Health and Life Sciences has secured a £500,000 grant to determine the impact of myopia management interventions on vision and visual behaviour in children, for example, looking at how their vision responds to an intervention such as spectacles when they view objects at different distances. The new grant builds upon the team’s portfolio of research in the field of myopia, where clinical studies are underway with children between the ages of six and 15 years old. The researchers are working on slowing the progression of myopia in children. The interventions under trial include low dose atropine eye drops, contact lenses and spectacle lenses. Myopia is an eye condition where distant objects appear blurry. It typically occurs in childhood and progresses through the teenage years. It can lead to eye disease in later life, as the eye grows longer with myopia, it causes stretching in parts of the eye. Myopia is becoming increasingly prevalent throughout the world and it has been predicted to affect approximately 50 per cent of the world's population by 2050, based on trending myopia prevalence figures. Myopia is an overlooked but leading cause of blindness, particularly among the working age population. The two-year programme of research is being led by an internationally recognised team of academics from the School of Optometry, including Professor Leon Davies, Professor Nicola Logan, Dr Amy Sheppard, and Professor James Wolffsohn. The research grant will also support the appointment of two clinical research optometrists. Professor Leon Davies, professor of optometry and physiological optics at Aston University and president of the College of Optometrists said: “As Aston University has an established, internationally recognised track record in myopia research, we are pleased to be able to continue our work in this area to further our understanding of myopia management strategies for the benefit of patients.” Professor Nicola Logan, professor of optometry and physiological optics, at Aston University added: “As an advocate for evidence-based advancements, this research collaboration will further our scientific understanding of myopia progression. The work will increase our knowledge and better facilitate translation to clinical practice to manage young children more actively with myopia.”
Augusta University’s second annual Healthy Georgia Report has been released, offering a snapshot of health in the Peach State as compared to not only neighboring states, but also the entire country. While Georgia’s population is doing well in some key health factors, researchers also found areas that could benefit from more awareness and public policy action. Biplab Datta, PhD, assistant professor in the Institute of Public and Preventive Health and the Medical College of Georgia’s Department of Population Health Sciences, collaborated with other IPPH faculty and staff to update the report and add new categories this year. The goal of the report is to connect with lawmakers, community leaders and researchers, stimulate conversations about public health needs and promote action, such as greater community engagement, research for informing effective policies and appraisal of required funds. “We need to make lawmakers aware of the public health situation in the state of Georgia,” said Datta. “We hope this report will help identify areas that need policy attention. It can also play an important role in bridging the gap between researchers and policymakers.” Using 2021 data from the Behavioral Risk Factor Surveillance system, the National Survey of Children’s Health, the American Community Survey and the Center for Disease Control and Prevention’s COVID Data Tracker website, the report was compiled on numerous health topics. Some categories studied include high cholesterol, hypertension, obesity, arthritis, asthma, cancer, cardiovascular diseases, alcohol consumption, diabetes and more. It also broke down each category by age, sex, race, income level and other socioeconomic indicators to get a full representation of the data. New to the study this year is an in-depth look at health insurance coverage, COVID-19 vaccinations, breastfeeding, child maltreatment, and unmet healthcare need of children. Georgia ranks 49th in the nation when it comes to health insurance coverage. That was a surprise to Datta. “I didn’t expect the numbers to be that bad, but I think it also indicates the scope of work that we need to undertake to improve insurance coverage in Georgia,” he said. Another surprise was the low rate of flu vaccination in Georgia. “We know there is a difference between whites and Blacks in the U.S. But when we look at and compare Black people in Georgia with Blacks in the rest of the southeastern states, we see the flu vaccination rate was significantly lower among Blacks in Georgia. This is an issue that warrants further research to understand the underlying causes of such disparity,” said Datta. As it was a year ago, hypertension remains a concern. There are several issues involved when talking about hypertension but there are also straightforward ways to improve the condition Datta said. “I think one of the core components of hypertension control is just changing some behavioral stuff. If we just reduced the sodium content in our daily diet, if we do regular physical exercise for a certain amount of time that will significantly improve our hypertension management. Community-level initiatives to make people aware of these things can make a real difference,” said Datta. Residents in Georgia are doing better in several areas such as obesity, cancer rates, asthma prevalence and depressive disorders. Datta said it’s important to recognize these improvements so we can learn from them. “We need to figure out where we are doing well and use that experience in areas where we are not doing so well. It will help us move toward the right direction.” He added it’s important to always be looking for ways to evolve the study, and that includes adding new categories when enough data is available. “We didn’t cover sexually transmitted diseases in this year’s report, which we would like to add when data will become available. We’d also like to add teenage pregnancy, maternal health issues, gun violence and opioid use,” he said. Looking to learn about health in the Peach State? Then let us help. Biplab Datta is available to speak with media regarding this important topic. Simply click on his icon now to arrange an interview today.
#ExpertPerspective: Did the Covid-19 Pandemic Change Perspectives on Inequality?
Did the COVID-19 pandemic have a silver lining? According to Professor Andrea Dittmann and an interdisciplinary team of researchers, the answer is, “Yes.” In 2020, when it became clear that the COVID-19 pandemic would upend daily life, Andrea Dittmann decided the research she’d been doing could wait. Typically, Dittmann, Assistant Professor of Organization & Management, studies the sources of—and solutions to—inequality in the workplace. “The pandemic is a very distressing thing, but from a research standpoint it’s fascinating to study,” Dittmann said. “The pandemic laid bare all of the inequalities that I’ve been studying for years.” Dittmann, along with colleagues Ellen Reinhart and Hazel Rose Markus from the Department of Psychology, Stanford University; Rebecca Carey, Department of Psychology, Princeton University; Nicole Stephens, Management and Organizations, Northwestern’s Kellogg School of Management; and Hannah Birnbaum, Organizational Behavior Area, Olin Business School at Washington University in St. Louis, decided to study how experiencing personal harm as a result of the Covid-19 pandemic influenced people’s attitudes and behaviors towards equality. In their paper, “Personal Harm from the Covid-19 pandemic predicts advocacy for equality,” published in the January 2023 issue of Journal of Experimental Social Psychology, the researchers write that experiencing greater personal harm in the early stages of the pandemic was “associated with increased advocacy for equality one year later.” These findings are noteworthy. For decades, psychologists have studied Americans’ tendency to rationalize existing inequality as a consequence of individual or “internal” attributes (e.g. differences in work ethic) rather than as a product of larger structural, external, and uncontrollable factors such as bad luck, discrimination, or differences in educational opportunities. “Americans tend to explain people’s life outcomes as free from the constraints of history, other people, and social systems. Instead, life outcomes are seen as a product of individuals’ personal preferences, choices, or enduring characteristics,” they write. Lessons from Firsthand Experience While previous studies have shown that increasing a person’s exposure to inequality—for instance, working in an under-served school or participating in a poverty simulation—can increase people’s endorsement of external attributions for inequality, the COVID-19 pandemic presented the researchers with a real life opportunity to test their hypothesis: that an individual’s firsthand experience of personal harm due to an external force beyond his or her control “will be associated with an increase in their advocacy for equality over time,” they write. Firsthand exposure to inequality confronts people with information contrary to the dominant narrative; it demonstrates how forces beyond individuals’ control can shape people’s opportunities. To conduct their study, the authors recruited a balanced sample (in terms of gender and educational level) of approximately 1500 U.S. citizens between the ages of 18-70. Over the course of a year, they surveyed the participants three times—in May 2020, October 2020 and May 2021. Participants were asked whether they had experienced personal harm as a result of the pandemic (such as disruptions to sleep, poor mental health, financial difficulties, contracting the disease, or having a friend/family member die from the disease) and whether or not experiencing such harm was associated with greater endorsement of external attributions for inequality. Increased Advocacy: A Silver Lining To measure attitudinal and behavioral advocacy for equality, the study included questions about whether there should be universal healthcare, whether the government should provide stimulus checks to help people meet basic needs, and whether or not participants had done anything to combat inequality as a result of the personal harm they had experienced. Had they contacted a public official to express support for reducing social or economic inequality? Had they posted or shared content online that related to reducing social or economic inequality? Even when we ran the most conservative statistical tests, we were still seeing this meaningful relationship between experiencing personal harm and changing your attitude towards inequality and being more willing to stand up and do something about inequality. It speaks to the importance of having direct experience with something that has a disproportionate effect on your life. Dittmann doesn’t know if these attitudinal shifts will be permanent, but she believes the results of the study suggest that research interventions, like asking people to think about people they know who are affected by “large, external shocks” such as climate change or a natural disaster, “could be a way, experimentally, to get more people to see the link, to make these external attributions,” she explained. “While it’s of course awful that so many people experienced this harm due to the pandemic, if there is one good thing that came of it, people were able to shift their attitudes towards inequality. And very importantly, as someone who has done a lot of social psychological research, you don’t expect these effects to persist this long over time. They tend to be more transient. But this study suggests that these could be relatively long term effects.” Looking to know more? Then let us help with your media coverage or research. Andrea is an Assistant Professor of Organization & Management at Emory University's Goizueta Business School. She studies diversity and inequality, particularly employees' social class backgrounds, aiming to promote equity and inclusion at work. Andrea is available to speak with media - simply click on her icon now to arrange an interview today.
Expert Comment - the humanitarian use of drones in the current Turkish/Syrian earthquake disaster
Dr Muhammad Azmat, Assistant Professor in Logistics and Supply Chain Management at Aston University, Birmingham, is available to provide comment on the humanitarian use of drones in the current Turkish/Syrian earthquake disaster, and why they should be used more. “There are several examples from the recent past that suggest autonomous drones and drone swarms could be an effective tool to speed up search and rescue operations. “I believe there is a need for more awareness of drones and humanitarian organisations should be encouraged in using this new technology.” Dr Azmat has previously written for The Conversation about the potential use of humanitarian drones during the Ukraine war Dr Azmat’s profile: Dr Muhammad Azmat Assistant Professor in Logistics and SCM - Expert with Aston University | ExpertFile If you have any queries, please contact Dr Azmat or Nicola Jones Mobile: (+44)7825 342091 n.jones6@aston.ac.uk Press and Communications Manager, College of Engineering and Physical Sciences, Aston University, Aston Triangle Birmingham, B4 7ET, UK
Birmingham City Council Cabinet Member Cllr Majid Mahmood met with sustainability experts from across Aston University Cllr Mahmood is responsible for the city’s sustainable waste strategy Knowledge exchange projects between the city council and Aston University were discussed. Birmingham City Council’s Cabinet Member for Environment visited Aston University on 30 November to meet with academics working on sustainability challenges. Cllr Majid Mahmood is responsible for developing a financially and environmentally sustainable waste strategy for the city and engaging in citywide and national policy development to tackle the causes and consequences of climate change, among other accountabilities. Cllr Mahmood’s visit included seeing the chemical engineering and applied chemistry labs run by Dr Jiawei Wang and Dr Matthew Derry who are investigating methods for generating energy from waste and creating new, more sustainable materials. He also met with Professor Patricia Thornley, director of the Energy Bioproducts Research Institute (EBRI) along with other colleagues including Dr Katie Chong, who showcased EBRI’s world-leading research into bioenergy and bioproducts and heard from Dr Luciano Batista on the work he is leading at the Centre for Circular Economy and Advanced Sustainability which provides practical answers to tackle world-critical sustainability challenges. During the visit, Cllr Mahmood was able to share some of the challenges and opportunities facing Birmingham City Council, particularly around sustainability, the environment and waste management. He discussed with academics how Aston University’s research could feed into Birmingham City Council’s future waste and energy management plans and how the lived experience of the city should shape the direction of research. A number of knowledge exchange opportunities were also discussed, including using the city council’s experience to develop undergraduate student projects and academics being invited to visit Birmingham’s waste management depots. Cllr Majid Mahmood said: “It has been brilliant to visit Aston University today and to learn about the innovative ways that different academics are tackling the sustainability challenges facing the world. “As the largest metropolitan local authority in the UK, Birmingham is uniquely placed to develop sector leading waste and energy management processes. Working closely with universities like Aston University will help us to achieve this. “I look forward to developing our working relationship and combining our practical experience and research excellence to drive innovation in the sector.”
Aston University appoints new pro-vice-chancellor and executive dean of business and social sciences
Professor Zoe Radnor has been appointed as Pro-Vice-Chancellor and Executive Dean of the College of Business and Social Sciences She has had a successful career in higher education for over 25 years Professor Radnor will be joining Aston University in Spring 2023. Aston University has appointed Professor Zoe Radnor as the new Pro-Vice-Chancellor and Executive Dean of the College of Business and Social Sciences. Professor Radnor will succeed Professor George Feiger, who will be standing down after 10 years of leadership of Aston Business School and the College of Business and Social Sciences. With a successful career in higher education spanning over 25 years, Professor Radnor will be joining Aston University from The University of Law (ULaw), where she is currently Provost and Deputy Vice-Chancellor, specifically focused on leading the diversification of the academic portfolio, including building an academic model for the provision of high quality, innovative teaching and thought leadership. In addition, she is leading the TEF submission at the institution Prior to her executive role at ULaw, she was Vice-President for Strategy and Planning; Equality, Diversity and Inclusion and Professor of Service Operations Management at City, University of London, leading the development of the University EDI strategy. In this role she also led the creation of the new enabling Civic Strategy and established the new institution-wide Change Support Unit. Before City, Professor Radnor was the founding Dean of the School of Business at the University of Leicester, and prior to that, as Associate Dean Teaching and Learning, she led the development of new curriculum offerings for the Loughborough University campus in London. Professor Zoe Radnor is a Fellow of the Academy of Social Sciences (FAcSS) and the British Academy of Management (FBAM). She is also a member of the Athena Swan Governance Committee for Advance HE. Her main research interests are in performance, process improvement and service value within public sector organisations. She has led research projects for a number of Government and healthcare organisations, evaluating the use of ‘lean’ and associated techniques and continues to maintain a strong ongoing research profile. Professor Aleks Subic, Vice-Chancellor and Chief Executive of Aston University, said: “I am looking forward to welcoming Professor Radnor to the Executive Team at what is a hugely exciting period of development for the University and to working with her as we shape our Aston University 2030 Strategy. Zoe brings significant leadership experience to the team and ambition in line with our bold vision. “I would also like to take this opportunity to acknowledge the significant contribution made by Professor George Feiger during his leadership of Aston Business School and the College of Business and Social Sciences over the last 10 years.” Professor Radnor said: “I am delighted to be joining such a prestigious and forward-thinking University and College. “The reputations of the College of Business and Social Sciences and of Aston University generally and the strategic vision of the new Vice-Chancellor and University leadership are what attracted me to this exciting role. I can’t wait to get started working with so many talented and innovative new colleagues.” Professor Radnor will be taking up her post in Spring 2023.
Aston University research to support SMEs and mid-sized companies to be ‘future ready’
‘Future readiness’ is defined as a set of capabilities and orientations that enable companies to thrive in the future Researchers say SMEs and mid-sized companies’ leadership should focus on bridging their resilience gap and exploiting their high level of agility The report found circular economy can combat environment and social impact without sacrificing economic performance. A new report from Aston University has highlighted opportunities for small and medium sized enterprises (SMEs) and mid-sized companies to develop strategies and pathways to increase their future readiness. The report defines future readiness as “a set of capabilities and orientations that enable companies to thrive in the future”. For SMEs and mid-sized businesses to be future-ready, they must be successful on the three pillars of long-term growth, societal impact and adaptive capacity. Experts say they must be able to generate lasting financial strength driven by innovative business models, products and/or services, to affect society positively in line with environmental, social and governance (ESG) goals and to develop high levels of resilience and agility, which enables them to bounce back in difficult times and to identify and seize opportunities as they emerge, creating disruption in business models for the future. The report aims to support leadership teams and the wider ecosystem in understanding how they can help increase the capacity for smaller companies to thrive and positively impact the economy and environment, as well as aid the recovery from the pandemic. Experts also say that circular economy adoption, where the ‘make, use and throw away’ supply chain is converted to ‘take, make, distribute, use and recycle’, in SMEs and mid-sized companies creates a win-win situation for every supply chain stakeholder through sustainability measures to achieve economic, environment and social performance. The World Economic Forum will use the insights generated in this report to further support SMEs and mid-sized companies in their future readiness journey. This will be done through the creation of additional resources, including the continuous development of the Forum’s self-assessment and benchmarking tool on future readiness, the creation of a platform for informal peer-to-peer learning between companies and meet ups with key experts. Prasanta Kumar Dey, professor in operations and information management at Aston Business School and lead author of the report, said: “The post-COVID-19 era is significantly more challenging than most people had initially hoped. Heightened geopolitical tensions, the energy crisis, supply chain disruptions, hyperinflation and extreme weather events are just a few of the difficulties that will make the next decade a demanding one. “SMEs and mid-sized companies’ leadership should try to focus on bridging their resilience gap and exploiting their high level of agility, afforded by their smaller size, as a competitive advantage. “Future readiness capability building should not be developed as ad-hoc initiatives but should be embedded into key corporate strategies and decision-making processes, ideally from the beginning, so that it becomes part of the fundamental building blocks of the company. “While smaller companies can go a long way in building their future readiness, it is important to recognise the direct and important impact that their wider policy environment has on their ability to thrive. It is therefore crucial for policymakers, investors and other stakeholders to do what is in their capabilities to contribute to building the future readiness of this segment of the economy. “One of the high-impact areas of intervention at the system levels revolves around digital trade and includes implementing targeted measures to harmonize and drive trade data interoperability across borders and supply chains. This would greatly contribute to making it easier for smaller companies to trade internationally.” You can find out more about the report findings here.
For the first time in Delaware, and likely the nation, cancer specialists have co-authored a consensus statement and clinical pathway for the management of colon cancer that has spread to the peritoneum or abdominal wall. The statement has been published in the Jan. 10 online issue of Surgical Oncology. The statement aligns the state’s major health care providers on a standardized, evidence-based approach to the treatment of this kind of colon cancer. This will ensure patients throughout the state will receive optimal care and equitable access to the most appropriate treatment options and clinical trials. Medical and surgical oncologists from ChristianaCare’s Helen F. Graham Cancer Center & Research Institute, Tunnell Cancer Center at Beebe Healthcare and TidalHealth Allen Cancer Center prepared the statement entitled, “Consensus Statement and Clinical Pathway for the Management of Colon Cancer With Peritoneal Metastases in the State of Delaware.” The statement was published on behalf of the State of Delaware Peritoneal Surface Malignancies Task Force. “Consensus among cancer specialists on how to treat colon cancer patients with peritoneal malignancy will assure that these patients have access to the specialized treatment they need at an experienced cancer center right here in Delaware,” said co-author Nicholas J. Petrelli, M.D., Bank of America endowed medical director of the Helen F. Graham Cancer Center & Research Institute. “As cancer care providers, we know how important it is for patients to be close to home for their cancer care.” “Getting cancer physicians throughout the state to agree on who is eligible for treatment and the right sequence of therapies was no small task,” said lead author Jesus Esquivel, M.D., co-director of Beebe Healthcare’s Peritoneal Surface Malignancy Program. “Thanks to Dr. Petrelli’s leadership, coupled with the support of a very committed task force, we have been able to make this happen on a statewide level.” In about 10% to 20% of cases, colon cancer is found in the peritoneum, the lining of the abdomen that covers the abdominal organs. Historically, patients with peritoneal metastases have a worse prognosis. However, numerous studies show five-year survival rates for patients whose peritoneal cancer can be surgically removed approach the rates of those with successful surgery for metastatic liver disease. “We are looking at a complicated group of patients with advanced colon cancer and a generally poor prognosis, who historically have been treated in a non-uniform fashion despite medical evidence to suggest which therapies are most effective,” Esquivel said. Combining surgery and heated chemotherapy The Delaware pathway includes a combination treatment of surgery and heated chemotherapy, starting with cytoreductive surgery (CRS) to remove all visible cancer in the peritoneum. Hyperthermic Intraperitoneal Chemotherapy (HIPEC) with Mitomycin C is then delivered on the operating table for 90 minutes. Mounting clinical evidence shows this one-two punch can significantly extend survival in well-selected patients when compared with standard systemic chemotherapy. Currently, due to a steep learning curve, only about 120 hospitals in the U.S. have the necessary capability and expertise to perform these procedures. In Delaware, only ChristianaCare and Beebe Healthcare can offer patients CRS with HIPEC. Some patients who are not immediate candidates for surgery may benefit from systemic therapy (chemotherapy/immunotherapy) as a first-round treatment. Others on the pathway may be recommended for systemic therapy alone and potential participation in an appropriate clinical trial. Four-tier scoring system To help providers determine the best form of treatment for each individual patient, the Delaware pathway introduces the Peritoneal Surface Disease Severity Score (PSDSS). The scoring system uses four tiers of estimated disease severity based on a three-point scale that includes symptoms, extent of peritoneal dissemination and primary tumor histology. “With the Delaware pathway in place, our goal is to ensure that multidisciplinary evaluation begins at the time of diagnosis so that each patient is selected for the right sequence of currently available therapy depending the individual cancer,” Esquivel said. “Not only are we recommending a uniform treatment modality for patients, but our framework facilitates data reporting and evaluation that will add to the body of knowledge about this disease and how best to treat it.” Although there is plenty of medical evidence to suggest which therapies are most effective, until now, efforts by Esquivel and others to achieve consensus worldwide have not translated into a universally accepted clinical pathway for the management of this disease. Delaware is a unique launching pad for such a pathway. “As cancer care providers we know how important it is to work together on behalf of our patients,” said Petrelli. “Delaware is uniquely suited to this effort not only because of its size, but also because of the collaborative relationships we have built through groups like the Delaware Cancer Advisory Council and Consortium and most specifically for this effort, the Delaware Peritoneal Surface Malignancy Task Force.” The Delaware Health Information Network (DHIN) is another important resource to assist physician collaboration. Nearly 100% of the state’s medical providers are linked in. The DHIN launched in 2007 as the first operating statewide health information exchange in the country. “I don’t expect 100% of patients to be included in the pathway, but I see it as the best opportunity for patients to maximize benefits and minimize suffering or unnecessary treatment,” Esquivel said. “As a health care provider who treats patients with advanced cancer, I know that is the best one can hope for short of a cure. “With consensus on evidence-based clinical pathways, we can offer increasing numbers of patients the assurance that whether you live in northern or southern Delaware, you can rely on getting the best treatment available for your cancer.”
