The top 5% of prescribers account for half of opioid prescriptions and high risk prescriptions to children and young adults.
Patients prescribed benzodiazepines and opioids by different providers 20% more likely to overdose, adding to already heightened risk.
Study looks at trends before and after 2016 guide for prescribers was released.
Effective pain control with equal short-term outcomes and patient satisfaction seen in patients who got non-opioid pain medication.
Study also shows certain patients have an even greater risk of overdose if they fill opioid prescriptions, and strengthens argument against use of opioids for most dental pain.
Comparison of opioid-sparing approach with standard care shows no difference in patient satisfaction, but less pain among those counseled to use opioids only as backup.