Evidence map›Paper›PMID 39050143›Full record

ArticleDEN open2025

Comparison of remimazolam and midazolam for sedation during colonoscopy in Japanese patients: A propensity score matching analysis.

Kanako Ogura, Ryoji Ichijima, Hisatomo Ikehara, Tomomi Sugita, Daisuke Yamaguchi, Yasuhiko Nagata, Mitsuru Esaki, Yosuke Minoda, Hiroyuki Ono, Kinichi Hotta and 3 more

Erratum issuedAbstract read
In one paragraph

Article in DEN open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Efficacy and Recovery of Remimazolam Versus Midazolam in Sedated Colonoscopy: A Multicenter Randomized Controlled Trial in Japan.Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society · 2026
    Trial
  3. Review
  4. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Kanako OguraDepartment of Medicine Nihon University School of Medicine Division of Gastroenterology and Hepatology Tokyo Japan.ORCID https://orcid.org/0000-0001-8447-3777
Ryoji IchijimaDepartment of Medicine Nihon University School of Medicine Division of Gastroenterology and Hepatology Tokyo Japan.ORCID https://orcid.org/0000-0002-5977-3660
Hisatomo IkeharaDepartment of Medicine Nihon University School of Medicine Division of Gastroenterology and Hepatology Tokyo Japan.ORCID https://orcid.org/0000-0001-9239-7495
Tomomi SugitaDepartment of Medicine Nihon University School of Medicine Division of Gastroenterology and Hepatology Tokyo Japan.
Daisuke YamaguchiDepartment of Gastroenterology National Hospital Organization Ureshino Medical Center Saga Japan.ORCID https://orcid.org/0000-0001-9782-9998
Yasuhiko NagataDepartment of Gastroenterology Nagata Surgery and Gastroenterological Clinic Tokyo Japan.
Mitsuru EsakiDepartment of Medicine and Bioregulatory Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan.ORCID https://orcid.org/0000-0001-7353-2153
Yosuke MinodaDepartment of Medicine and Bioregulatory Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan.ORCID https://orcid.org/0000-0001-9567-9738
Hiroyuki OnoDivision of Endoscopy Shizuoka Cancer Center Shizuoka Japan.
Kinichi HottaDivision of Endoscopy Shizuoka Cancer Center Shizuoka Japan.
Shinsuke KiriyamaDepartment of Gastroenterology Kiriyama Clinic Gunma Japan.
Tetsuya SumiyoshiDepartment of Gastroenterology Tonan Hospital Hokkaido Japan.ORCID https://orcid.org/0000-0002-9390-8477
Yuichi KanmuraDepartment of Anesthesiology Fujimoto General Hospital Miyazaki Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To compare the efficacy and safety of sedation with midazolam and remimazolam for colorectal endoscopy. Methods: This single-center, two-arm, post-hoc analysis of the REM-IICTJP01 study investigated the efficacy and safety of remimazolam for gastrointestinal endoscopic sedation. We enrolled 40 and 208 patients who underwent colonoscopy under remimazolam and midazolam sedation, respectively, during the same period. The primary outcome was the time from the end of the colonoscopy until discharge. The secondary outcomes included the time from the end of the colonoscopy until awakening, dosage, and adverse events. Propensity score matching was employed to eliminate the effect of confounding factors. Results: Thirty-seven patients in each group were matched. After propensity matching, the time to awakening after colonoscopy was 28.0 (13.0-37.0) min in the midazolam group and 0 (0-0) min in the remimazolam group; moreover, the time till discharge was 40.0 (35.0-46.5) min in the midazolam group and 0 (0-5.0) min in the remimazolam group, both of which were significantly shorter in the remimazolam group ( Conclusions: Remimazolam yielded significantly faster times to awakening and discharge safely compared to midazolam.

Indexed as

colonoscopymidazolampropensity scoreremimazolamsedation

Identifiers

PMID39050143
PMCPMC11266431

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.