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DIRECT COSTS


SUMMARY:


• Direct medical costs for IBD are estimated at $1.2 billion in Canada in 2012. These costs are in addition to any non-IBD medical needs.


• Prescription drug therapy, including biologicals, will cost $521 million in Canada in 2012 – the single largest component of direct medical cost. Drug therapy has changed dramatically in the past ten years. Current drugs are more expensive but can prevent hospitalizations and improve health outcomes. Access to these drugs may vary by province and by socioeconomic status.


• Hospitalization and surgery are the second largest component of direct medical cost at $395 million in Canada in 2012. Hospitalization and surgery rates have decreased over time for adults with CD. Surgical rates have decreased in children with CD. This may be related to increased specialist care and more aggressive use of medication to control disease.


• Physician visits are estimated at $132 million in Canada in 2012. Outpatient hospitalization events will total $61 million.


• Other aspects of direct medical costs have not been directly estimated in Canada, such as: laboratory tests, other health professionals (nutritionist, occupational therapist, etc.), and social services (home making, meal delivery, etc.). A conservative estimate based on international measurements is $101 million in Canada in 2012.


• Costs depend on many factors such as age, severity, and decade of diagnosis. An average cost per patient is estimated to be at least $5,200 per year.


THE IMPACT OF INFLAMMATORY BOWEL DISEASE IN CANADA 46


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