RT Journal Article T1 Prognostic and Clinicopathological Significance of CCND1/Cyclin D1 Upregulation in Melanomas: A Systematic Review and Comprehensive Meta-Analysis. A1 González-Ruiz, Lucía A1 González-Moles, Miguel Ángel A1 González-Ruiz, Isabel A1 Ruiz-Ávila, Isabel A1 Ramos-García, Pablo K1 CCND1 K1 cyclin D1 K1 melanoma K1 meta-analysis K1 systematic review AB Our objective was to evaluate the prognostic and clinicopathological significance of cyclin D1 (CD1) overexpression/CCND1 amplification in melanomas. We searched studies published before September 2019 (PubMed, Embase, Web of Science, Scopus). We evaluated the quality of the studies included (QUIPS tool). The impact of CD1 overexpression/CCND1 amplification on overall survival and relevant clinicopathological characteristic were meta-analyzed. We performed heterogeneity, sensitivity, small-study effects, and subgroup analyses. Forty-one studies and 3451 patients met inclusion criteria. Qualitative evaluation demonstrated that not all studies were performed with the same rigor, finding the greatest risk of bias in the study confounding domain. Quantitative evaluation showed that immunohistochemical CD1 overexpression had a statistical association with Breslow thickness (p = 0.007; OR = 2.09,95% CI = 1.23-3.57), significantly higher frequency of CCND1/cyclin D1 abnormalities has been observed in the primary tumor compared to distant metastases (p = 0.004), revealed also by immunohistochemical overexpression of the protein (p SN 2072-6694 YR 2021 FD 2021-03-15 LK https://hdl.handle.net/10668/28171 UL https://hdl.handle.net/10668/28171 LA en DS RISalud RD Apr 8, 2025