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Narjust Florez, MD


Medical Oncology

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Narjust Florez, MD

Physician

  • Associate Director, Cancer Care Equity Program
  • Physician
  • Member of the Faculty, Harvard Medical School

Centers/Programs

Clinical Interests

  • Cancer health disparities
  • Lung cancer in women
  • Lung cancer survivorship
  • Quality of life and symptom's control
  • Thoracic malignancies

Contact Information

  • Fax617-632-5786

Bio

Dr. Narjust Florez is the Associate Director of the Cancer Care Equity Program and a thoracic medical oncologist at the Dana-Farber Brigham Cancer Center. She completed her internal medicine residency in Rutgers New Jersey Medical School and fellowship at the Mayo Clinic in Rochester, Minnesota where she was the chief fellow from 2018-2019.

Dr. Florez's clinical interests include targeted therapy for lung cancer and the care of women with lung cancer, including their unique aspects of cancer survivorship. She is the principal investigator of the Sexual Health Assessment in Women with Lung Cancer (SHAWL) Study, the largest study to date evaluating sexual dysfunction in women with lung cancer.

Apart from her clinical interests in lung cancer, she is also a leading and productive researcher in cancer health disparities, gender and racial discrimination in medical education and medicine. She received many awards including the 2018 Resident of the Year Award by the National Hispanic Medical Association, the Mayo Brothers Distinguished Fellowship award and the 2020 Rising Star award by the LEAD national conference for women in hematology and oncology.

In addition, Dr. Florez founded the Florez Lab in 2019. The laboratory focuses on lung cancer, social justice issues in medicine and medical education. The laboratory long-term goals are to create a welcoming environment for medical trainees from historically underrepresented groups in medicine while improving the care of vulnerable populations. Members of the Florez Lab are agents of change.

Board Certification:

  • Internal Medicine, 2016
  • Medical Oncology, 2019

Fellowship:

  • Fred Hutchinson Cancer Research Center, Research
  • Mayo Clinic, Hematology/Medical Oncology

Residency:

  • Rutgers University - New Jersey Medical School

Medical School:

  • Universidad Catolica Nordestana

Research

Disparities in the Inclusion of Racial and Ethnic Minority Groups and Older Adults in Prostate Cancer Clinical Trials: A Meta-analysis. JAMA Oncol. 2023 Feb 01; 9(2):180-187.
View in: PubMed

End-of-Life Care and Advanced Directives in Hispanic/Latinx Patients: Challenges and Solutions for the Practicing Oncologist. Oncologist. 2022 12 09; 27(12):1074-1080.
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ASO Visual Abstract: Disparities in Primary-Stage Breast Cancer at Presentation Among Hispanic Subgroups. Ann Surg Oncol. 2022 12; 29(13):7990-7991.
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Understanding Modern Medical Centers: Beyond Simone-Intersectional Maxims for a New Era. J Clin Oncol. 2023 Mar 01; 41(7):1350-1358.
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Starting a Career in Oncology: Fighting Cancer and Gender Disparities. JAMA Oncol. 2022 09 01; 8(9):1251-1252.
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Efficacy of immune checkpoint inhibitors in non-small cell lung cancer: A systematic review and meta-analysis. Front Oncol. 2022; 12:955440.
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Disparities in Primary Breast Cancer Stage at Presentation Among Hispanic Subgroups. Ann Surg Oncol. 2022 Dec; 29(13):7977-7987.
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ASO Author Reflections: The Need for Disaggregated Study among Hispanic Populations. Ann Surg Oncol. 2022 12; 29(13):7988-7989.
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Therapy for Stage IV Non-Small-Cell Lung Cancer Without Driver Alterations: ASCO Living Guideline. J Clin Oncol. 2022 10 01; 40(28):3323-3343.
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Therapy for Stage IV Non-Small-Cell Lung Cancer With Driver Alterations: ASCO Living Guideline. J Clin Oncol. 2022 10 01; 40(28):3310-3322.
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My White Coat Doesn't Fit. J Clin Oncol. 2022 10 01; 40(28):3344-3345.
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Disparities in Cancer Care and Scientific Knowledge in Hispanic/Latinx People in the United States. JCO Oncol Pract. 2022 05; 18(5):367-369.
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Proyecto ELEVAR: Evaluating the Latinx Experience With the Health Care System Through Variables on Access and Resources. JCO Oncol Pract. 2022 05; 18(5):e814-e826.
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Dónde Están? Latinx/Hispanic Representation in the Oncology Workforce: Present and Future. JCO Oncol Pract. 2022 05; 18(5):388-395.
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The Problem of Hispanic/Latinx Under-Representation in Cancer Clinical Trials. JCO Oncol Pract. 2022 05; 18(5):380-384.
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Disparities in Cardio-Oncology Care in the Hispanic/Latinx Population. JCO Oncol Pract. 2022 05; 18(5):404-409.
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Alliance A082002 -a randomized phase II/III trial of modern immunotherapy-based systemic therapy with or without SBRT for PD-L1-negative, advanced non-small cell lung cancer. Clin Lung Cancer. 2022 07; 23(5):e317-e320.
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Disparities in Representation of Women, Older Adults, and Racial/Ethnic Minorities in Immune Checkpoint Inhibitor Trials. Am J Med. 2022 08; 135(8):984-992.e6.
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Adjust, don't avoid: The need for risk-based CT screening in nonsmoking populations. Lung Cancer. 2022 06; 168:36-37.
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Microaggressions, Bias, and Equity in the Workplace: Why Does It Matter, and What Can Oncologists Do? Am Soc Clin Oncol Educ Book. 2022 Apr; 42:1-12.
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Left Out: Disparities in Access to Care Among Foreign-Born Populations and Implications for Hospital-Based Studies. Am J Gastroenterol. 2022 06 01; 117(6):1011-1012.
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Localized prostate cancer disparities in risk group at presentation and access to treatment for Hispanic men. Prostate Cancer Prostatic Dis. 2022 Mar 19.
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With one eye on the future. Cancer Cell. 2022 03 14; 40(3):221-225.
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Racial Disparities in COVID-19 Outcomes Among Black and White Patients With Cancer. JAMA Netw Open. 2022 03 01; 5(3):e224304.
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HOLA COVID-19 Study: Evaluating the Impact of Caring for Patients With COVID-19 on Cancer Care Delivery in Latin America. JCO Glob Oncol. 2022 03; 8:e2100251.
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Immune checkpoint inhibitors and timing of administration. Lancet Oncol. 2022 02; 23(2):e56.
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Assessment of Regional Variability in COVID-19 Outcomes Among Patients With Cancer in the United States. JAMA Netw Open. 2022 01 04; 5(1):e2142046.
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Knowledge, Practice, and Attitudes of Physicians in Low- and Middle-Income Countries on Fertility and Pregnancy-Related Issues in Young Women With Breast Cancer. JCO Glob Oncol. 2022 01; 8:e2100153.
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Women Oncologists' Perceptions and Factors Associated With Decisions to Pursue Academic vs Nonacademic Careers in Oncology. JAMA Netw Open. 2021 12 01; 4(12):e2141344.
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COVID-19 and Cancer: A Review of the Registry-Based Pandemic Response. JAMA Oncol. 2021 12 01; 7(12):1882-1890.
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Baby Steps in the Right Direction: Toward a Parental Leave Policy for Gastroenterology Fellows. Am J Gastroenterol. 2021 11 01; 116(11):2300.
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Re: "The Intersection of Disability and Pregnancy: Risks for Maternal Morbidity and Mortality" by Signore et al. J Womens Health (Larchmt). 2021 09; 30(9):1362-1363.
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Professional Address during Obstetrics and Gynecology Grand Rounds Introductions: Setting the Stage, Setting the Standard. J Surg Educ. 2021 Nov-Dec; 78(6):1930-1937.
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The Matilda Effect: Underrecognition of Women in Hematology and Oncology Awards. Oncologist. 2021 09; 26(9):779-786.
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Evidence to Date: Evaluating Pembrolizumab in the Treatment of Extensive-Stage Small-Cell Lung Cancer. Clin Pract. 2021 Jul 06; 11(3):441-454.
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Work Patterns of Women Physicians During Vacation: A Cross-Sectional Study. J Womens Health (Larchmt). 2022 04; 31(4):573-579.
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Sociodemographic disparities in the management of advanced lung cancer: a narrative review. J Thorac Dis. 2021 Jun; 13(6):3772-3800.
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COVID-19 and Global Oncology: A Year in Review. JCO Glob Oncol. 2021 05; 7:797-801.
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It Can Wait. Oncologist. 2021 05; 26(5):439-440.
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#LatinasInMedicine: Using the Hashtag to Build Community in Medicine. J Grad Med Educ. 2021 Jun; 13(3):332-334.
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Care without a compass: Including patients with cancer in COVID-19 studies. Cancer Cell. 2021 07 12; 39(7):895-896.
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Videoconferencing Etiquette: Promoting Gender Equity During Virtual Meetings. J Womens Health (Larchmt). 2021 04; 30(4):460-465.
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Evaluating Bias in Speaker Introductions at the American Society for Radiation Oncology Annual Meeting. Int J Radiat Oncol Biol Phys. 2021 06 01; 110(2):303-311.
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Evaluating Speaker Introductions at the American Society for Radiation Oncology Annual Meeting. Int J Radiat Oncol Biol Phys. 2020 12 01; 108(5):1400-1401.
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Lung-cancer researchers and clinicians must pay more attention to women. Nature. 2020 11; 587(7834):S13.
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Assessing vitamin D and mammographic breast density in Alaskan women. Clin Pract. 2020 Oct 15; 10(4):1253.
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The HOLA COVID-19 Study: An International Effort to Determine How COVID-19 Has Impacted Oncology Practices in Latin America. Cancer Cell. 2020 11 09; 38(5):605-608.
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Oncology training in Latin America: are we ready for 2040? Lancet Oncol. 2020 10; 21(10):1267-1268.
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The Dragon. Oncologist. 2020 10; 25(10):903-904.
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Leveraging Social Media for Cardio-Oncology. Curr Treat Options Oncol. 2020 08 13; 21(10):83.
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Unconscious Bias in Speaker Introductions at a Surgical Oncology Meeting: Hierarchy Reigns Over Gender. Ann Surg Oncol. 2020 Oct; 27(10):3754-3761.
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Targeting of the Hedgehog/GLI and mTOR pathways in advanced pancreatic cancer, a phase 1 trial of Vismodegib and Sirolimus combination. Pancreatology. 2020 Sep; 20(6):1115-1122.
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Cancer Care for All? Tales of Caring for Undocumented Patients with Cancer. Oncologist. 2020 07; 25(7):552-554.
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Pulmonary Complications Secondary to Immune Checkpoint Inhibitors. Int J Chronic Dis. 2020; 2020:4928648.
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Osimertinib-Induced Cardiomyopathy. JACC Case Rep. 2020 Apr; 2(4):641-645.
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Gender differences in publication rates in oncology: Looking at the past, present, and future. Cancer. 2020 06 15; 126(12):2759-2761.
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It Is Time to Talk About Fertility and Immunotherapy. Oncologist. 2020 04; 25(4):277-278.
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Reply to On the proportion of male breast cancer among all breast cancers. Cancer. 2020 01 01; 126(9):2034-2035.
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Evaluating Unconscious Bias: Speaker Introductions at an International Oncology Conference. J Clin Oncol. 2019 12 20; 37(36):3538-3545.
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Male breast cancer in the United States: Treatment patterns and prognostic factors in the 21st century. Cancer. 2020 01 01; 126(1):26-36.
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Primary neuroendocrine carcinoma of the brain. BMJ Case Rep. 2019 Sep 18; 12(9).
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Influence of Sociodemographic Factors on Treatment Decisions in Non-Small-Cell Lung Cancer. Clin Lung Cancer. 2020 05; 21(3):e115-e129.
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Non-Small Cell Lung Cancer: Epidemiology, Screening, Diagnosis, and Treatment. Mayo Clin Proc. 2019 08; 94(8):1623-1640.
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Treatment-Related Adverse Events of PD-1 and PD-L1 Inhibitors in Clinical Trials: A Systematic Review and Meta-analysis. JAMA Oncol. 2019 Jul 01; 5(7):1008-1019.
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Establishing a Mutually Respectful Environment in the Workplace: A Toolbox for Performance Excellence. Am Soc Clin Oncol Educ Book. 2019 Jan; 39:e219-e226.
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The State of Cancer Care in Venezuela. J Glob Oncol. 2019 05; 5:JGO1900031.
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Sex Differences in Tolerability to Anti-Programmed Cell Death Protein 1 Therapy in Patients with Metastatic Melanoma and Non-Small Cell Lung Cancer: Are We All Equal? Oncologist. 2019 11; 24(11):e1148-e1155.
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Characterization of Comorbidities Limiting the Recruitment of Patients in Early Phase Clinical Trials. Oncologist. 2019 01; 24(1):96-102.
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Pompe Disease Could Mimic Exam Findings of Amyloidosis: Two Rare Diagnoses Bona Fide. Case Rep Hematol. 2018; 2018:9615834.
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Commentary: Race and Ethnicity in Biomedical Research - Classifications, Challenges, and Future Directions. Ethn Dis. 2018; 28(4):561-564.
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Hemolytic Uremic Syndrome Associated With Escherichia coli O157 Infection in an Allogenic Stem Cell Transplant Recipient. Mayo Clin Proc Innov Qual Outcomes. 2018 Dec; 2(4):387-391.
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Narjust Duma on How Gender Affects the Tolerability of Immunotherapy. Oncology (Williston Park). 2018 07 15; 32(7):332-3.
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Where Do We Stand on the Integration of PARP Inhibitors for the Treatment of Breast Cancer? Curr Oncol Rep. 2018 06 08; 20(8):63.
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Exclusion of Male Patients in Breast Cancer Clinical Trials. JNCI Cancer Spectr. 2018 Apr; 2(2):pky018.
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Adherence to Guidelines for Breast Surveillance in Breast Cancer Survivors. J Natl Compr Canc Netw. 2018 05; 16(5):526-534.
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Representation of Minorities and Elderly Patients in Multiple Myeloma Clinical Trials. Oncologist. 2018 09; 23(9):1076-1078.
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Preventing Today's Survivors of Breast Cancer From Becoming Tomorrow's Cardiac Patients. J Oncol Pract. 2018 04; 14(4):213-214.
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Representation of Minorities and Women in Oncology Clinical Trials: Review of the Past 14 Years. J Oncol Pract. 2018 01; 14(1):e1-e10.
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Immune-Mediated Autonomic Neuropathies following Allogeneic Stem Cell Transplantation in Acute Myeloid Leukemia. Case Rep Hematol. 2017; 2017:6803804.
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Gastric adenocarcinoma: clinicopathologic differences among Hispanics and non-Hispanic whites. A single Institution's experience over 14 years. Ann Gastroenterol. 2016 Jul-Sep; 29(3):325-31.
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Safety and tolerability of pomalidomide-based regimens (pomalidomide-carfilzomib-dexamethasone with or without cyclophosphamide) in relapsed/refractory multiple myeloma and severe renal dysfunction: a case series. Hematol Oncol. 2017 Jun; 35(2):246-251.
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Enlarging Pancreatic Schwannoma: A Case Report and Review of the Literature. Clin Pract. 2015 Nov 05; 5(4):793.
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Bronchial-oesophageal fistula: a rare initial presentation of squamous cell carcinoma of the lung. BMJ Case Rep. 2015 Jun 10; 2015.
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