The problem with these studies is they are difficult to publish with negative data, and then meta analysis is done on a biased dataset.
There are many countries that avoid all analgesics because they have better health care professionals who acknowledge the fact that these drugs are the main reason for liver damage. But, USA is always isoated in their analysis.
Most countries outside North America avoid NSAIDs because of liver damage. In 2025, I have no idea why NSAIDs are over-the-counter. But in countries that avoid acetominophen, they still have autism.