Nwaneri, Chukwuemeka2016-07-282016-07-282014Nwaneri, C. L. (2014). Retrospective cohort study of type 2 diabetes mellitus (T2DM) in the Wirral Peninsula: Complexity Science. (Doctoral dissertation). University of Chester, United Kingdom.http://hdl.handle.net/10034/617676A reference copy of this work is available at the Seaborne Library, Learning and Information Services, University of Chester, Parkgate Road, Chester, CH1 4BJT2DM continues to be a public health burden with its increasing incidence, prevalence, and mortality risks. The aim of this thesis was to examine a population-based cohort of 22,000 people with T2DM diagnosed between 1 January 2000 and 31 December 2010 within the Wirral Peninsula, UK with the aim of: Assessing factors relating to all-cause, cardivascular-, malignancy-, and non-cardiovascular mortality; evaluating the role of glycaemic control, socioeconomic status, smoking, dyslipidaemia, blood pressure, obesity, and nephropathy, as predicting risk factors for mortality; assessing the influence of age at diagnosis, duration of diabetes, year of diagnosis and gender on mortality; examining the life expectancy and mortality patterns and measuring the years of life lost as a result of a diagnosis of T2DM; applying Complexity Science to the dynamic interplay of the various factors in T2DM that lead to unpredictability in health outcomes.enhttp://creativecommons.org/licenses/by-nc-nd/4.0/diabetescohort studycomplexity scienceWirralThesis or dissertationThe full-text may be used and/or reproduced in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-profit purposes provided that: - A full bibliographic reference is made to the original source - A link is made to the metadata record in ChesterRep - The full-text is not changed in any way - The full-text must not be sold in any format or medium without the formal permission of the copyright holders. - For more information please email researchsupport.lis@chester.ac.uk