The \(\chi ^{2}\) test is among the most widely used statistical hypothesis tests in medical research. Often, the statistical analysis deals with the test of row-column independence in a \(2\times 2\) contingency table, and the statistical parameter of interest is the odds ratio. A novel Bayesian analogue to the frequentist \(\chi ^{2}\) test is introduced. The test is based on a Dirichlet-multinomial model under a joint sampling scheme and works with balanced and unbalanced randomization. The test focusses on the quantity of interest in a variety of medical research, the odds ratio in a \(2\times 2\) contingency table. A computational implementation of the test is developed and R code is provided to apply the test. To meet the demands of regulatory agencies, a calibration of the Bayesian test is introduced which allows to calibrate the false-positive rate and power. The latter provides a Bayes-frequentist compromise which ensures control over the long-term error rates of the test. Illustrative examples using clinical trial data and simulations show how to use the test in practice. In contrast to existing Bayesian tests for \(2\times 2\) tables, calibration of the acceptance threshold for the hypothesis of interest allows to achieve a bound on the false-positive rate and minimum power for a prespecified odds ratio of interest. The novel Bayesian test provides an attractive choice for Bayesian biostatisticians who face the demands of regulatory agencies which usually require formal control over false-positive errors and power under the alternative. As such, it constitutes an easy-to-apply addition to the arsenal of already existing Bayesian tests.
