TY - JOUR T1 - Thrombophilia testing in the era of direct oral anticoagulants JF - Clinical Medicine JO - Clin Med SP - e487 LP - e491 DO - 10.7861/clinmed.2020-1008 VL - 21 IS - 5 AU - Jennifer Darlow AU - Holly Mould Y1 - 2021/09/01 UR - http://www.rcpjournals.org/content/21/5/e487.abstract N2 - Venous thromboembolism (VTE) is increasingly recognised in primary and secondary care practice. The arrival of direct oral anticoagulants (DOACs) has made the management of VTE easier and more convenient. Some patients established on DOACs may need screening for underlying thrombophilias as certain thrombophilic conditions are known to confer a higher thrombosis risk, although the guidelines for when and how to test for a thrombophilia, especially in a patient taking a DOAC, are unclear. This literature review aims to examine when thrombophilia screening should take place in a patient already taking a DOAC, the effect of DOACs on thrombophilia tests, and analyse whether DOACs are safe and effective in both inherited and acquired thrombophilias. ER -