Provider discussions about cardiovascular health factors by cancer type, provider type, and patient age (results from WF-1804CD).

378 Background: Results from the Automated Heart-Health Assessment study (AH-HA, R01CA226078) demonstrate the electronic health record clinical decision support tool is effective at promoting cardiovascular health (CVH) discussions in outpatient oncology. In this analysis, we compared the prevalence of CVH topics [blood pressure, cholesterol, glucose/A1c, body mass index (BMI), smoking, physical activity (PA), and diet] discussed. Methods: The Wake Forest NCI Community Oncology Research Program (NCORP) Research Base (UG1CA189824)coordinated a practice-randomized trial (WF-1804CD, NCT# 03935282). We compared intervention and usual care practices by the CVH topics discussed among those patients with non-ideal or missing CVH at baseline (those considered “in need”), as well as potential differences by cancer type (breast, endometrial, others), provider type (MD vs APP), and patient age (<50, 50-64, 65+). Results: We enrolled 645 cancer patients at 9 AH-HA practices (4 intervention, 5 usual care). Most had breast cancer (82.3%), were female (95.7%) and white (83.9%, white/non-Hispanic, 7.8% Black; 3.7% Hispanic), with a median of 3.7 years since diagnosis. Providers in intervention vs usual care practices were more likely to discuss all CVH factors (all p<.0001). BMI, PA, and diet were the most common topics discussed in both arms. Blood pressure, cholesterol, and glucose/A1c were discussed for >66% of intervention vs <20% usual care patients. Breast and endometrial cancer patients were more likely to discuss PA and diet vs others (p<.05); breast cancer survivors were least likely to discuss smoking (p<.05). Patients who saw APPs vs MDs were more likely to discuss cholesterol and BMI (p<.05). Older patients (50-64 and 65+) were more likely to discuss glucose/A1c vs younger patients (p<.05). Conclusions: CVH discussions among patients with elevated or unknown risk were more common in AH-HA vs usual care practices. There were subtle differences by cancer type, provider type, and age, suggesting opportunities for expanded tool reach. Clinical trial information: 03935282 . Self-reported discussions among those with CVH factors categorized as poor/intermediate/missing at baseline OverallN=645 Usual Care AH-HA N % N % N % Blood pressure 255 47.4 56 19.3 199 79.9 Cholesterol 237 46.5 45 16.7 192 80.0 Glucose/A1c 221 38.0 39 12.8 182 65.9 BMI 308 60.9 103 37.6 206 88.4 Smoking 26 55.3 8 29.6 18 85.7 PA 213 65.1 70 39.3 144 96.0 Diet 351 62.3 92 31.2 259 96.3