P741 IBD-related work disability in Brazil

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Abstract

Background: Given the increasing prevalence of Inflammatory Bowel Diseases (IBD) in Brazil [7] and considering that the highest peak incidence occurs in young patients; the work disability generates relevant economic and social impacts. This study aimed at assessing disability due to IBD in the Brazilian population.

Methods: Analysis was obtained through the computerized Single System of Social Security Benefits Information with the crosscheck of aid pension and disability retirement, for ulcerative colitis (UC) and Crohn's disease (CD) between 2010 and 2014. Additional data were obtained within the platform including the average values, benefit duration, gender, age, and region of the country.

Results: In terms of costs, the value of benefits paid from 2010 to 2014 for IBD was US$ 98,098,212,representing approximately 1% of the total of all benefits paid by the social security. Benefits paid for CD were higher than for UC, whereas both tend to decrease from 2010 to 2014.

Temporary disability was more frequent in UC, while permanent disability in CD. Temporary disability affected younger patients with CD than UC. Rates for temporary and permanent disability were greater among women. Temporary work absences due to UC and CD were greater in the South, while the lowest rates in the North and Northeast, due to CD. Permanent disability rates were higher in the South (UC) and Southeast (CD). Absence from work was longer in CD (355 days) compared to UC (305 days), reaching almost a year.

Conclusions: IBD-related work disability rates are much longer in Brazil, compared to the ones seen in developed countries [1]. Reduction trends may reflect improvements in access to health care and medication. Vocational rehabilitation programs may positively impact social security and quality of life of patients.

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