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INDIRECT COSTS


SUMMARY:


• Indirect costs are higher than direct medical costs and are estimated at $1.6 billion in Canada in 2012 ($868 million for CD, and $693 million for UC).


• Short-term work absence strictly due to IBD averages 7.2 days per employed person with IBD, or $181 million in Canada in 2012.


• People with IBD are more likely to have lower labour participation rates than the general population, ranging from 3% to 13% less employment. The most likely minimum estimate is that this loss of productivity costs $979 million per year since at least 21,000 individuals would not be able to be in paid employment.


• Productivity losses from premature deaths are estimated at $9 million per year.


• Caregiver work absences are estimated to be $7 million per year for parents of pediatric IBD cases, plus $86 million per year for severely ill people with IBD.


• The individual’s out-of-pocket expenses are estimated at $300 million (non-prescription medicines, household support, travel for medical care, etc.).


THE IMPACT OF INFLAMMATORY BOWEL DISEASE IN CANADA 54


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