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Comparison of missed appointments between children with tinea capitis and those with other skin diseases: A

Julia Jiarui Shen, Pernille Lindsø Andersen, Karen Marie Thyssen Astvad

    Dermatology (Basel, Switzerland)
    |July 30, 2026
    PubMed

    Insights

    Children with tinea capitis (TC) had similar overall appointment adherence but were more likely to miss appointments without notice. Originating from TC endemic countries predicted no-shows, potentially due to healthcare system navigation challenges.

    Area of Science:

    • Dermatology
    • Public Health
    • Healthcare Management

    Background:

    • Tinea capitis (TC) treatment necessitates frequent follow-ups, making patient adherence critical for successful outcomes.
    • Identifying factors contributing to missed appointments can enhance treatment success rates and reduce healthcare costs.
    • Understanding appointment adherence patterns is vital for optimizing pediatric dermatological care.

    Purpose of the Study:

    • To compare missed appointment rates between children diagnosed with tinea capitis (TC) and those with other skin conditions.
    • To identify specific predictors associated with missed appointments in pediatric dermatology patients.

    Main Methods:

    • A retrospective analysis of patient records from a dermatological outpatient clinic was conducted between January 1, 2017, and May 1, 2022.
    • Poisson regression modeling was employed to identify predictors of missed appointments.
    • Data included 81 children with TC and 238 controls.

    Main Results:

    • Overall missed appointment rates were similar between the TC group (33.3%) and the control group (32.5%).
    • The TC group exhibited a higher no-show rate (14.3% vs. 0%), while the control group had more cancellations (12.5% vs. 0%).
    • Originating from a TC endemic country was a significant predictor for no-shows (RR: 2.39, p=8.25x10⁻⁶), and longer travel distance predicted cancellations (RR: 1.66, p=0.045).

    Conclusions:

    • While overall adherence was comparable, the TC group was more prone to missing appointments without prior notification.
    • Patients from TC endemic countries may face challenges such as language barriers and socioeconomic factors impacting healthcare navigation.
    • Addressing potential social inequities and improving healthcare system accessibility is crucial for patients from diverse cultural backgrounds.
    Abstract

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