Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2014

정규원,원영주,오창모,공현주,이덕형,이강현,Chang-Hoon Kim,Cheol-In Yoo,Heon Kim,남해성,Jung-Sik Huh,Jung-Ho Youm,Moo-Kyung Oh,홍남수,권순석,Woo-Chul Kim,강윤식 대한암학회 2017 Cancer Research and Treatment Vol.49 No.2

Purpose This study presents the 2014 nationwide cancer statistics in Korea, including cancer incidence, survival, prevalence, and mortality. Materials and Methods Cancer incidence data from 1999 to 2014 was obtained from the Korea National Cancer Incidence Database and followed until December 31, 2015. Mortality data from 1983 to 2014 were obtained from Statistics Korea. The prevalence was defined as the number of cancer patients alive on January 1, 2015, among all cancer patients diagnosed since 1999. Crude and age-standardized rates (ASRs) for incidence, mortality, prevalence, and 5-year relative survivals were also calculated. Results In 2014, 217,057 and 76,611 Koreans were newly diagnosed and died from cancer respectively. The ASRs for cancer incidence and mortality in 2014 were 270.7 and 85.1 per 100,000, respectively. The all-cancer incidence rate has increased significantly by 3.4% annually from 1999 to 2012, and started to decrease after 2012 (2012-2014; annual percent change, –6.6%). However, overall cancer mortality has decreased 2.7% annually since 2002. The 5-year relative survival rate for patients diagnosed with cancer between 2010 and 2014 was 70.3%, an improvement from the 41.2% for patients diagnosed between 1993 and 1995. Conclusion Age-standardized cancer incidence rates have decreased since 2012 and mortality rates have also declined since 2002, while 5-year survival rates have improved remarkably from 1993-1995 to 2010-2014 in Korea.

인체 유래 생물학적 물질의 소유권 - 사체를 중심으로 -

정규원,Jung, Kyu Won 대한의료법학회 2017 의료법학 Vol.18 No.1

전통적인 법이론에 의하여 인간은 권리의 주체이기 때문에 인체로부터 유래한 생물학적 물질은 권리의 객체가 될 수 없다. 하지만 의학과 생명과학의 발전으로 인하여 인체로 부터 유래한 생물학적 물질은 다양한 용도로 사용되고 있으며 인체로부터 유래한 생물학적 물질의 객체성 여부와 소유권 인정 여부에 대한 논의는 지속적으로 제기되고 있다. 인체로부터 유래한 생물학적 물질을 법적으로 파악하는 이론은 전통적으로 자율성에 근거한 모델이었으며 현재도 그것이 가장 보편적으로 받아들여지고 있다. 하지만 자율성 모델에 의하여 인체로부터 유래한 생물학적 물질을 파악할 경우 인체로부터 유래한 생물학적 물질을 다루는 현실을 제대로 설명할 수 없을 뿐만 아니라 오히려 배분적 정의의 측면에서 볼 때 적절하지 못한 결론에 도달할 수도 있다는 의문이 제기되고 있다. 인체 유래 생물학적 물질을 소유권의 객체로 파악하려는 소유권 모델은 인간의 존엄과 가치에 반하는 이론 구성이라는 의혹을 받고 있다. 하지만 소유권은 단일한 권리가 아니며 다양한 권리들의 집합체이며 그 내용이 어떻게 구성될 것인가는 객체의 특성 등을 고려하여 판단하면 될 것으로 생각된다. 본 논문은 인체 유래 생물학적 물질의 소유권 전체 보다는 일단 사체로부터 유래한 물질의 소유권 인정 여부를 중점적으로 다루었다. 이를 통하여 인체 유래 생물학적 물질전반에 대한 법이론적 고찰이 현재의 과학적 사실에 적합한 형태로 이루어지기를 기대한다. Ownership is the bundle of rights that allow a person or institute to use and control an object. As the biomedical science is advanced, we should consider whether human biological material should be recognized as property. Whether separated parts of the human body can be objects of ownership is a different issue. Many thought that separated parts of the human body could not be objects of ownership. This idea is primarily based on this thought: even if a piece of human biological material is separated from a person, it still relates to that person, and if treated as a thing, human dignity may be harmed. However, some commentators have admitted separated parts of the human body into the realm of property. Though a person owns his/her body or body parts, this does not mean that he/she can do anything he/she desires. There are many natural and social limitations to exercise the ownership of human biological material as discussed above. Human dignity is the core consideration whether or not we recognize that ownership of human biological material biomedical research and knowledge.

성인에서 발생한 대장의 저신경절증

강민정 ( Min Jung Kang ),정성애 ( Sung Ae Jung ),정지민 ( Ji Min Jung ),김성은 ( Seong Eun Kim ),심기남 ( Ki Nam Shim ),정혜경 ( Hye Kyung Jung ),구혜수 ( Hea Soo Koo ),유권 ( Kwon Yoo ),문일환 ( Il Hwan Moon ),정규원 ( Kyu Won C 대한소화기기능성질환·운동학회 2008 Journal of Neurogastroenterology and Motility (JNM Vol.14 No.1

Hypoganglionosis is a rare form of intestinal neuronal malformation, which is characterized by scarce ganglia and a reduced number of parasympathetic nerves in the intestinal wall. Enteric nervous system can be damaged during postnatal period by ischemic, inflammatory, autoimmunologic process or neurotoxic agent. Acquired hypoganglionosis is usually late onset and characterized as degeneration of ganglion cells and gliosis histologically. We report a case of adult type ypoganglionosis, which is assumed to be an acquired type with the review of literature. The patient with a history of chronic constipation and ileus presented with intestinal obstruction and went on surgical management successfully.

의료정보에 대한 의료인의 권리와 의무

정규원 ( Kyu Won Jung ) 한양대학교 법학연구소 2011 법학논총 Vol.28 No.1

Medical information is the information which is collected during the medical practices from the patient. Therefore, medical information is considered as an object of patient`s right. However, considering the process of generating medical information, the role of medical professionals becomes more and more important than ever. Also, the need for using medical information in research is growing as the biomedical science is developed. Most debates on medical information have focused to protect medical information for patient`s privacy. Medical information contains private secretion of patient. If medical information is misused or abused, patient`s privacy can be harmed. There are many provisions which aim to protect medical information. Some types of medical information are generated by the contribution of medical professional`s knowledge and experiences to patient`s raw data. For example, medical professionals should decide which diagnostic tests should be done based on the patient`s subjective symptom. Their medical knowledge and experiences will influence their decision. Also, selecting treatment they will be influenced by their knowledge and experiences. Because of theses reasons, some types of medical information is the subject of patient`s and medical professional`s rights or medical professional`s right. As the situation surrounding medical practices is changing, the legal theories or regulatory framework of medical information should be changed. Medical professional`s right on medical information should be recognised as their contribution.

공법 : 정신질환자의 비자의입원에 대한 검토

정규원 ( Kyu Won Jung ) 한양대학교 법학연구소 2008 법학논총 Vol.25 No.4

According to the <Mental Health Act>, two types of non-voluntary admission may be allowed. One is non-voluntary admission based on the requests of the patient`s protector, including family members. The other is non-voluntary admission based on the requests of the major, the country headman, or the district leader. Considering the purposes of the Act, to cure and rehabilitate the patient, they are not appropriate provisions. Psychiatric treatment is also a kind of medical practice. So general principles that are required in medical treatment also required in psychiatric treatment. If that is true, informed consent is also required in psychiatric treatment. If the patient is competent and he/she refuses to treat, doctor can not do medical practice. Non-voluntary admission of psychiatric patient is allowed only when the patient has not the competency to consent. If the psychiatric patient has not competency to consent and the admission is required for the patient, substituted decision may be allowed. In that case, the person who makes decision for the patient should consider the patient`s will and what is the best way for the patient. For protect the psychiatric patient, the guardian who has the general power to decide should make decision for the patient. And the guardian`s substituted decision should be examined by the court. For examining the guardian`s decision, an authoritative committee which is regulated by the court. Mentally ill patient is not a special person or risky person. Everybody may be suffered from the metal illness. They should be treated as other patient who are suffered by illness. They also have the natural rights and their rights should be protected.

조직이식 및 조직은행에 대한 법률적 검토

정규원 ( Kyu Won Jung ) 법과사회이론학회 2004 법과 사회 Vol.0 No.26

인간 유전체 기능 연구의 법적 문제

정규원(Jung Kyu-Won) 한국생명윤리학회 2002 생명윤리 Vol.3 No.1

Human genome research is providing knowledge of the human genetic information and is facilitating the new diagnostic technologies and treatments. But It can make some ethical and/or legal problems, like harm to genetic privacy, problems of genetic discrimination, and abortion. When we carry out human genome research, we must use the specimens from human beings. According to some ethical and/or legal points of view, using specimens from human beings violates the dignity of human. But I think we must distinguish the case of patient-subject and the case of volunteer-subject. Another issue is autonomy or the right of self-determination. When researches select the human subject, they must respect the potential subject's autonomy. In legal terms, autonomy means the right of self-determination. To protect the potential subject's autonomy, researchers must get the informed consent. The third issue is to protect the individual's genetic privacy. To protect the individual's genetic privacy, the genetic information must not be linked with the individual's medical record. And the disclosure of individual's genetic information must be banned. The IRB(Institutional Review Board) can be useful to control the technical/scientific quality of research and the ethical and/or legal problems of research. And we can use the genetic counsellor system to assist in getting informed consent, settling the conflicts between researchers and subjects, and so on. Under these considerations, this article proposes an guideline of human genome research. This guideline includes some issues which can be happened during performing the human genome research. I intended to make an research guideline which can be followed by researchers in the research lab.

공법 : 무의미한 치료에 대한 형법적 판단

정규원 ( Kyu Won Jung ) 한양대학교 법학연구소 2006 법학논총 Vol.23 No.2

의료광고에 대한 법적 규율

정규원 ( Kyu Won Jung ) 한양대학교 법학연구소 2014 법학논총 Vol.31 No.3

Medical Advertisement is one of the important methods to get medical information and to help appropriate and free decision of patient. Also, it is a kind of activity of medical professionals to perform their jobs. However, medical practice has some different characteristics from other goods, very specialized activity, imbalance of information between medical professionals and patients, etc. Because of these characteristics, medical advertisement should be regulated. Historically, the method of regulation of medical advertisement had been done through positive model, that means ban of medical advertisement in principle and exceptional allow of medical advertisement. According to the basis of justification of medical practice changes, paternalism to autonomy, the method of regulation of medical advertisement has moved to negative model, allow in principle and exceptional ban. Even though the change of regulation model, there have been hot debates surrounding medical advertisement, because of the limits of allowance and criminal punishment. In this article, I discussed the current Acts and cases which are relevant to medical advertisement and proposed some standards and framework of regulation of medical advertisement.

간호사의 과실 -분업적 간호행위의 형사책임을 중심으로-

정규원 ( Kyu Won Jung ) 한양대학교 법학연구소 2014 법학논총 Vol.31 No.2

Nursing is one of the core part of the medical practices. Traditionally, nursing is aid work of doctor’s practices. Also, the Supreme Court supports this point of view. However, the nurse is a professional occupational group and nurses are trained as professionals during their educational courses. Also, the government supervises the license of nurses. As the medicine develops, medical practices are more specified and a lot of medical professionals are involved in treating a patient. In this changed situation, some of the nursing practices can not be recognized by doctor and there are no needs to recognize. I proposed some nursing is independent tasks of nurses in this article. If we agree this point of view, we recognize the concept of “cooperative nursing.” Cooperative nursing is a concept which designates the cooperative practice by more than two nurses. In this field, a participant is allowed to trust that other participants will do good nursing.