Abstract

People living with inflammatory bowel disease (IBD) and their caregivers are faced with indirect and out-of-pocket costs that they would not otherwise experience. These costs impact one’s ability to contribute to the economy to their fullest potential. The indirect costs of IBD in Canada are estimated to be at least $1.51 billion in 2023 and include costs associated with lost productivity resulting from a combination of missed work (absenteeism), decreased workplace productivity (presenteeism), unemployment, premature mortality, and caregiving costs. Unemployment is the largest contributor to indirect costs ($1.14 billion), followed by costs of absenteeism and presenteeism ($285 million). Caregiving costs for children with IBD are estimated to be nearly $58 million. Canadians with IBD also pay $536 million every year for care that is not covered by universal or supplemental private health insurance; this includes allied healthcare (e.g., care provided by psychologists), medication, and other supportive therapy. Combined, the indirect and out-of-pocket costs of IBD in Canada are estimated at more than $2 billion CAD in 2023. This is substantially higher than the estimate of $1.29 billion in Crohn’s and Colitis Canada’s 2018 Impact of IBD report with differences attributable to a combination of rising prevalence, inflation, and the addition of presenteeism and caregiving costs to the total indirect costs.

Details

Title
The 2023 Impact of Inflammatory Bowel Disease in Canada: Indirect (Individual and Societal) and Direct Out-of-Pocket Costs
Author
Kuenzig, M Ellen 1 ; Im, James H B 1 ; Coward, Stephanie 2 ; Windsor, Joseph W 2 ; Kaplan, Gilaad G 2 ; Murthy, Sanjay K 3 ; Benchimol, Eric I 1 ; Bernstein, Charles N 4 ; Bitton, Alain 5 ; Jones, Jennifer L 6 ; Lee, Kate 7 ; Peña-Sánchez, Juan-Nicolás 8 ; Rohatinsky, Noelle 9 ; Ghandeharian, Sara 7 ; Tyrel Jones May 10 ; Tabatabavakili, Sahar 11 ; Jogendran, Rohit 12 ; Weinstein, Jake 1 ; Khan, Rabia 1 ; Hazan, Elias 13 ; Browne, Mira 1 ; Davis, Tal 1 ; Goddard, Quinn 2 ; Gorospe, Julia 2 ; Latos, Kate 7 ; Mason, Kate 7 ; Kerr, Jack 14 ; Balche, Naji 7 ; Sklar, Anna 7 ; Targownik, Laura E 15 

 SickKids Inflammatory Bowel Disease Centre, Division of Gastroenterology, Hepatology, and Nutrition, The Hospital for Sick Children , Toronto, Ontario , Canada 
 Departments of Medicine and Community Health Sciences, University of Calgary , Calgary, Alberta , Canada 
 Department of Medicine, University of Ottawa , Ottawa, Ontario , Canada 
 Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba , Winnipeg, Manitoba , Canada 
 Division of Gastroenterology and Hepatology, McGill University Health Centre IBD Centre, McGill University , Montréal, Quebec , Canada 
 Departments of Medicine, Clinical Health, and Epidemiology, Dalhousie University , Halifax, Nova Scotia , Canada 
 Crohn’s and Colitis Canada , Toronto, Ontario , Canada 
 Department of Community Health and Epidemiology, University of Saskatchewan , Saskatoon, Saskatchewan , Canada 
 College of Nursing, University of Saskatchewan , Saskatoon, Saskatchewan , Canada 
10  Division of Gastroenterology and Hepatology, University Health Network, University of Toronto , Toronto, Ontario , Canada 
11  Department of Gastroenterology, University of Toronto , Toronto, Ontario , Canada 
12  Department of Medicine, University of Toronto , Toronto, Ontario , Canada 
13  Department of Internal Medicine, University of Toronto , Toronto, Ontario , Canada 
14  Department of Medicine, Memorial University of Newfoundland , St John’s Newfoundland , Canada 
15  Division of Gastroenterology and Hepatology, Mount Sinai Hospital, University of Toronto , Toronto, Ontario , Canada 
Pages
S16-S22
Publication year
2023
Publication date
Sep 2023
Publisher
Oxford University Press
ISSN
25152084
e-ISSN
25152092
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3168647093
Copyright
© The Author(s) 2023. Published by Oxford University Press on behalf of the Canadian Association of Gastroenterology. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.