{"id":98,"date":"2007-01-22T15:18:41","date_gmt":"2007-01-22T14:18:41","guid":{"rendered":"http:\/\/resource.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/"},"modified":"2007-01-22T15:18:41","modified_gmt":"2007-01-22T14:18:41","slug":"jama-17-jan-2007","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/","title":{"rendered":"JAMA 17 Jan 2007"},"content":{"rendered":"<p>Even when it is localised and resectable, <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/267\">cancer of the pancreas<\/a> is almost always lethal. This German <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/267\">trial <\/a>of post-operative <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/267\">gemcitabine <\/a>has been going on since 1998 and has proved that this type of chemotherapy prolongs disease-free survival by a worthwhile amount, though in the final analysis patients given the treatment survived a median 22 months compared with 20.5 months for the control group.<!--more--><!--more--> This is not a disease we are within sight of conquering.<\/p>\n<p>Here\u2019s an <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/278\">analysis <\/a><a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/278\">of observational studie<\/a>s in the presence of <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/278\">treatment selection bias<\/a> &#8211; a real brain-teaser for those who want to tell the difference between damned lies and statistics. It looks at studies of <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/278\">invasive management of myocardial infarction<\/a>, one of the hottest topics in health service planning. The observational mortality benefit is about 50%, but use of appropriate statistical adjustment can bring that down to about 16%, in line with the randomised trials. Ah, but which adjustments really are appropriate? Whatever you do, don\u2019t ask me. Even the accompanying <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/314\">editorial <\/a>is pretty woolly.<\/p>\n<p>286 In the UK, GPs know from personal experience as well as population studies that patients from <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/286\">South Asia<\/a> (India, Pakistan and Bangladesh) tend to get <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/286\">myocardial infarction<\/a> more frequently and earlier in life. This <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/286\">analysis <\/a>of the <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/286\">INTERHEART study<\/a> looks at native populations and shows that this also happens in the home countries. It is not a Western lifestyle effect. Surprisingly, in these countries indices of exercise and fresh vegetable intake are very poor, and the standard risk factors are also worse, including the apolipoprotein ratio, which is more predictive than other lipid measures.<\/p>\n<p>People who are dying often feel immense <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/295\">fatigue<\/a>, for a variety of reasons which are well discussed in this <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/295\">paper<\/a>. I\u2019ve often wanted to give them something amphetamine-like, but such drugs don\u2019t have any proven benefit, whereas in the case discussed <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/295\">here<\/a>, megestrol worked quite well.<\/p>\n<p>The <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/308\">role of litigation in defining drug risks<\/a> is an interesting topic, but I didn\u2019t glean much from this <a href=\"http:\/\/jama.ama-assn.org\/cgi\/content\/full\/297\/3\/308\">essay <\/a>except that litigation is a very blunt instrument. The fear of litigation has probably disposed of many more drugs than have actually appeared in court cases. Even Jesus, who was not often given to dispensing worldly wisdom, is reported as advising out-of-court settlement in case you get stung for your uttermost farthing (Matt 5;26).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Even when it is localised and resectable, cancer of the pancreas is almost always lethal. This German trial of post-operative gemcitabine has been going on since 1998 and has proved [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":38363,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[111],"tags":[],"class_list":["post-98","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-richard-lehmans-weekly-review-of-medical-journals"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>JAMA 17 Jan 2007 - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"JAMA 17 Jan 2007 - The BMJ\" \/>\n<meta property=\"og:description\" content=\"Even when it is localised and resectable, cancer of the pancreas is almost always lethal. This German trial of post-operative gemcitabine has been going on since 1998 and has proved [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2007-01-22T14:18:41+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/richard-lehman.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"540\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2007\\\/01\\\/22\\\/jama-17-jan-2007\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2007\\\/01\\\/22\\\/jama-17-jan-2007\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"JAMA 17 Jan 2007\",\"datePublished\":\"2007-01-22T14:18:41+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2007\\\/01\\\/22\\\/jama-17-jan-2007\\\/\"},\"wordCount\":385,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2007\\\/01\\\/22\\\/jama-17-jan-2007\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/02\\\/richard-lehman.jpg\",\"articleSection\":[\"Richard Lehman's weekly review of medical journals\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2007\\\/01\\\/22\\\/jama-17-jan-2007\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2007\\\/01\\\/22\\\/jama-17-jan-2007\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2007\\\/01\\\/22\\\/jama-17-jan-2007\\\/\",\"name\":\"JAMA 17 Jan 2007 - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2007\\\/01\\\/22\\\/jama-17-jan-2007\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2007\\\/01\\\/22\\\/jama-17-jan-2007\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/02\\\/richard-lehman.jpg\",\"datePublished\":\"2007-01-22T14:18:41+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2007\\\/01\\\/22\\\/jama-17-jan-2007\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2007\\\/01\\\/22\\\/jama-17-jan-2007\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2007\\\/01\\\/22\\\/jama-17-jan-2007\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/02\\\/richard-lehman.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/02\\\/richard-lehman.jpg\",\"width\":540,\"height\":350},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2007\\\/01\\\/22\\\/jama-17-jan-2007\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"JAMA 17 Jan 2007\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"JAMA 17 Jan 2007 - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/","og_locale":"en_US","og_type":"article","og_title":"JAMA 17 Jan 2007 - The BMJ","og_description":"Even when it is localised and resectable, cancer of the pancreas is almost always lethal. This German trial of post-operative gemcitabine has been going on since 1998 and has proved [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2007-01-22T14:18:41+00:00","og_image":[{"width":540,"height":350,"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/richard-lehman.jpg","type":"image\/jpeg"}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"JAMA 17 Jan 2007","datePublished":"2007-01-22T14:18:41+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/"},"wordCount":385,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/richard-lehman.jpg","articleSection":["Richard Lehman's weekly review of medical journals"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/","url":"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/","name":"JAMA 17 Jan 2007 - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/richard-lehman.jpg","datePublished":"2007-01-22T14:18:41+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/richard-lehman.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/richard-lehman.jpg","width":540,"height":350},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2007\/01\/22\/jama-17-jan-2007\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"JAMA 17 Jan 2007"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/98","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=98"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/98\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/38363"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=98"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=98"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=98"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}