Evidence map›Paper›PMID 39834907›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2025

Comparative Study of Remimazolam and Midazolam During Sedated Upper Gastrointestinal Endoscopy: A Propensity Score Matching Analysis.

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

Abstract read
In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 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. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Ryoji IchijimaDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0002-5977-3660
Hisatomo IkeharaDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0001-9239-7495
Tomomi SugitaDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0002-3528-9233
Daisuke YamaguchiDepartment of Gastroenterology National Hospital Organization Ureshino Medical Center Ureshino Japan.ORCID https://orcid.org/0000-0001-9782-9998
Yasuhiko NagataDepartment of Gastroenterology Nagata Surgery and Gastroenterological Clinic Nishitokyo-shi Tokyo Japan.ORCID https://orcid.org/0009-0009-8058-8361
Kanako OguraDivision of Gastroenterology and Hepatology, Department of Medicine Nihon University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0001-8447-3777
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.ORCID https://orcid.org/0000-0002-8215-1720
Yuki MaedaDivision of Endoscopy Shizuoka Cancer Center Shizuoka Japan.ORCID https://orcid.org/0009-0002-7157-4768
Shinsuke KiriyamaDepartment of Gastroenterology Kiriyama Clinic Takasaki Gunma Japan.ORCID https://orcid.org/0000-0002-1205-1177
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.ORCID https://orcid.org/0000-0001-9030-841X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: This study aimed to compare the use of remimazolam and midazolam in upper gastrointestinal endoscopy in Japan as a sub-analysis of data from an investigator-initiated clinical trial of remimazolam. Methods and Results: Patients in two groups were matched using propensity score matching. We evaluated the time from the end of the gastrointestinal endoscopy until discharge, the time from the end of the procedure until awakening, and adverse events. Overall, 36 participants from the clinical trial population who underwent upper gastrointestinal endoscopy using remimazolam and 199 patients who underwent the procedure with midazolam during the same period were included in this study. Following propensity score matching, 34 patients in both groups were matched. The median time from the end of the procedure until awakening was 27.0 min (23.0-40.5 min) in the midazolam group (Group M) and 0 min (0-5.0 min) in the remimazolam group (Group R); the median time from the end of the upper gastrointestinal endoscopy until discharge was 39.0 min (35.0-52.5 min) in Group M and 5.0 min (0-5.0 min) in Group R ( Conclusion: Compared with midazolam, remimazolam significantly shortened the time to patient awakening and duration until the patient could leave the endoscopy room.

Indexed as

endoscopygastrointestinalmidazolampropensity scoreremimazolam

Identifiers

PMID39834907
PMCPMC11744072

What OpenQuestion holds

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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.