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INDIRECT COSTS key findings: • 43% of employed persons with IBD required time off due to IBD.


• Short-term work losses were estimated at 7.2 days per employed person with IBD per year, strictly due to IBD.


• This costs $181 million per year in short-term work losses in Canada for the 140,000 actively-employed individuals with IBD in 2012.


• People with IBD have a lower labour participation rate (3-13%) than the general population.


• The costs of reduced labour participation could range from $326 million (with 3% non-participation) to $1.4 billion (with 13% non- participation due to IBD). The best estimate is a minimum of $979 million (9% non-participation – 21,000 individuals).


• There are 18 deaths per year in employed people with CD, at an average age of 49 years. The productivity loss associated with these deaths is $9.4 million.


• No costs were assigned to premature deaths in people with UC. • There are very limited data with which to estimate caregiver costs.


• At a minimum, parental care giving for pediatric cases of IBD could cost $7 million a year. Potentially, care giving for severely ill people with IBD costs $86 million per year.


• Use of complementary and alternative medicines related to IBD costs approximately $32 million per year.


• Other out-of-pocket expenses (travel, household support, patient activities) related to IBD cost $268 million per year.


THE IMPACT OF INFLAMMATORY BOWEL DISEASE IN CANADA 53


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